Curricular Change Form

Space Reservation Request CHANGE Form for Curricular Events
(For Faculty and Administration use only)

Use this form ONLY if you are requesting changes to a PREVIOUSLY SCHEDULED CURRICULAR EVENT.

If this is your INITIAL request for space, please complete a Space for Reservation Request Form for Curricular Events
(event pertains to one specific credit-bearing course)

For more information on media, visit the Media Services website at: http://www.wellesley.edu/Knapp/Mediaservices/mediaServ.html

Contact Information - All Fields REQUIRED

Name of Person Making Space Reservation Request

Wellesley Email Address (8 character limit)
@wellesley.edu
Phone Extension

Academic Department

Information About Event - All Fields REQUIRED

Original Event Name

Original Event Date(s)

Original Event Start Time

Reference # on your confirmation; ex. 2004-AABBCC

Original Location of event

Specifically describe all changes to the event