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

Information About Space Required for Event
If your event pertains to one specific credit-bearing course, continue with this form.

If this event open to the college community, general public, or is it a departmental event involving more than one course, please click on the following URL for the correct form: http://www.wellesley.edu/Calendar/Form/srform.html

If you require changes to an existing reservation, please use the following form: http://www.wellesley.edu/Registrar/Forms/chgscurrform.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

Course (ex. Math 102)

Section (ex. 01)

Instructor (first and last names)

Event Type

Event Day and Date[s] (ex. Monday Sept. 9)

Event Start Time (include a.m. or p.m.)

Event End Time (include a.m. or p.m.)

Estimated Number of Students Attending

Information About Space - All Fields OPTIONAL
List any preferences you have for a specific space or building
If necessary, click here for space information
Preference 1:
Preference 2:
Preference 3:

Media Questions - please complete ONLY if you require computing or A/V equipment - All Fields OPTIONAL
We will try to assign you a room that has been fitted with the equipment you need; however, check-out equipment may be necessary. Equipment must be ordered 48 hours in advance. A lead time of 5 business days is required for videographer, projectionist or technician. Information on this form regarding media requests will be communicated to the Media Services Department by the event scheduler. For more information on media, visit the Media Services website at: http://www.wellesley.edu/Knapp/Mediaservices/mediaServ.html

Do you require the assistance of a videographer? (person to tape your event)
No Yes (If Yes, there is a charge for this service.)

Do you require the assistance of a projectionist? (person to operate your projection equipment)
No Yes (If Yes, there is a charge for this service.)
What media equipment will the projectionist be requested to operate?

For events involving major technical requirements, an AV technician may be asigned. You will be contacted if this is necessary. There is a charge for this service.

Do you need a room with a computer and projection? No Yes
If so, select platform Windows Mac Doesn't matter

6. Will you require media equipment for presenting...

VHS tapes? If so, from what countries?
DVDs? If so, from what countries?
Transparencies
Opaque documents
16 mm films
Slides
CDs
Records
Laser disks

7. Finally, do you require any of the following equipment?

Television
LCD projector (for a VCR or DVD player)
Digital audio tape recorder
Tape recorder
Audio tape transcriber kit
Laser pointer
Large screen
Amplifier speaker

Additional Information, Comments, or Equipment for Schedulers - OPTIONAL