Academic Technology Space Request Form

First Name *

Last Name *

Department *

Email *

Please list the courses for which you are seeking space.(Please include title, course code, and indicate if it is a new course.)


What is your expected enrollment size? How many attendees do you expect?


Please indicate when and how frequently your class or event will meet:

Please indicate semester, year, and specific date(s) and time(s)


Do you require access to specific technology and/or specific (e.g., flexible) furniture?Please indicate if there is a particular facility you would like to request (e.g., the Educational Technology Center Teaching Lab, the CIT Videoconferencing room, the Grad Center Multimedia Lab, the List Art Multimedia Lab, etc.)


Do you need any setup time or clean up time? Will food be served?