For courses meeting the entire quarter, please schedule through Registrar's Office. This form is for limited short term and special events.
What is the nature of your request? I am scheduled to teach this course This is a special request to use the room Course number or name of special class/workshop: For which quarter? Winter 2011 Spring 2011 Fall 2011 January Term 2012 Spring Semester 2012 Dates/days of week needed? (For special class/workshop.) Meeting times: (Include a.m. or p.m.) (beginning-ending) Number of students 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Your Name: Department: Work Phone: Home Phone: e-Mail Address: Comments or other information: Red = Required Information