Room Request Form

**FOR SE GRADUATE STUDENTS, FACULTY, OR STAFF ONLY***

ONE FORM PER REQUEST

INSTRUCTIONS:

Use this form for submitting room requests (only during the academic year) to your department SOC Coordinator. This form may be used to request rooms for Discussion Sections, Review Sessions, Special Meetings, or Overflow Rooms.
**Note: Summer session requests should be emailed to Carol Gardner with the same information - cdgardne@uci.edu

Confirmation of your room request(s) is sent via email to the email address you indicate below.
Please allow 5-7 working days to receive your confirmation notice.

Requests are not instant - you will be notified when arrangements are final.

First Name *

Last Name *

Email address *

Phone number *

Department *

Course code *

Course number *

Course title *

Instructor/Professor *

Room request preferences

Type *

Is this room needed on a weekly basis? *

Yes

Please input the start date and end date for this request.

Day of the week

For weekly events only

Start Date

Month

Day

Year

For weekly events only

End Date

Month

Day

Year

For weekly events only

Date

Month

Day

Year

For one-time events only.

Time

Begin

Hour

Minute

End

Hour

Minute

Room size

(i.e. Number of seats needed)

Special considerations or second choices

We will attempt to accommodate your needs as much as possible.

Leave this field blank

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