Event Information
Event Name
Date of Event
Event Start Time
Event End Time
Requested access time:
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You may need extra time before or after the event to set up/tear down.
Format: 3:00pm - 5:30pm
Event Description
Type of Event
Other Type of Event
Estimated Attendance
Caterer
Other Information
Security Information (Required)
Individual who will oversee the room during the event, ensure that the room is left in order and be responsible for securing the building if the event is held at a time other than M-F, 8-5pm.
Security Name
First
Middle
Last
Security Phone Number
Domestic phone number with area code in the form 757-555-1212
Security Email Address
Contact Information
Leave blank only if same as security.
Contact Name
Contact Email
Department/Organization
Department Name
Address/Office
Phone
I have read, understand, and accept the {{http://www.wm.edu/offices/career/Sherman-and-Gloria-H.-Cohen-Room-Requests, Policies and Procedures for Use of the Cohen Career Center Room(s)}}
Signature (type name)
Date
Please direct questions to
Julia Brown jabrow@wm.edu Cohen Career Center Phone: (757) 221-3233 Fax:(757) 221-3329