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ITC Room Request

Click the check box below to indicate that you agree to the following:

The configuration of furniture will be returned to original ITC room configuration
All food and refuse will be removed from the room(s) before I vacate. Food and beverages will not be consumed in Computer Labs.
I will secure doors (close and lock) when I vacate the room(s)
In the event that I will not need the use of the room, I will email the ITC to cancel my reservation (itc@umb.edu)

I understand that by not observing the Instructional Technology Center Room Usage Agreement, I may be relinquishing future use of these rooms.

I agree This is a required field.

Department:

Name:*

Phone:*

Email:*

PERSON USING THE SPACE:

Name: (If different than Contact Name)

Phone: (If different than Contact Name)

Email: (If different than Contact Name)

Organization/Group Name: (If different than than Department above)

EVENT INFORMATION:

Event Name:*

Event Date(s):*

Event Time:*

Purpose of Event:* This is a required field.

Expected Number of Participants:*

TECHNOLOGY REQUIREMENTS:

Will your event require internet access?* This is a required field.

Yes No

Will your event require a specific software application?:*

Will your event require installation of software?* This is a required field.
(If yes, we must receive the software and a copy of the license no less than a week before the event so that we can install and test the software.)

Will you require any of the following?* This is a required field.
Slide, LCD or overhead projector, document camera; VCR, DVD player; laptop connection; white board.

Will you require technical support for the duration of your event?*

Which following room type will you need?*
Conference, computer lab, presentation/lecture, meeting.

Will food be served at the event?* This is a required field.

Yes No

If YES Who will be providing catering?
If food and/or beverages will be served, you are responsible for the arrangement of delivery, removal and cleanup. Sodexho pickup from ITC rooms must be no later than 4:45pm Monday - Thursday; no later than 4:00pm on Fridays. Note that food and beverages are not permitted in Computer Labs.

Please answer the question below. This is to ensure that this form is submitted by a person rather than a robot.*
What is 5 + 4 + 3? (2 characters required)