DTEN Reservation Request Form – Eccles Health Sciences Education Building

When to Use This Form

Please only use this form if one of the following is true:

You have already reserved a room that doesn’t have a DTEN, and you didn’t indicate you needed a DTEN at that time.
You don’t intend to reserve the room in which you will use a DTEN.

You are encouraged to reserve a DTEN a week ahead of a time. There are a limited number available.

If you intend to reserve both a room and a DTEN, because the room you wish to use does not have one, please use the online room reservation form to do so.

PLEASE NOTE: The “responsible person” is the person accountable for respectful use and the good condition after use of the DTEN reserved.

Responsible Person’s First Name/s *

Responsible Person’s Last Name/s *

Responsible Person’s University Dept. or Non-University Organization *

Responsible Person’s Email Address *

Responsible Person’s Phone Number

Responsible Person’s University ID Number

8 digits

I Do Not Have a University ID Number

I do not have a University ID number

Date Needed

Start Time Needed *

End Time Needed *

Building In Which DTEN Will Be Used *

EHSEB (Spencer F. & Cleone P. Eccles Health Sciences Education Building)
EHSL Library (Spencer S. Eccles Health Sciences Library)

Room Number / Room Name In Which DTEN Will Be Used *

I Will Need a Brief Usage Training *

Yes, I will need DTEN usage training
No, I will not need DTEN usage training

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