Scheduling Request Form – Eccles Health Sciences Education Building

Complete this online form for room reservation or download, complete and email the request form.

Provide Course/Event Information

To submit multiple courses/events, click "Add New" button after last field.

COURSE/EVENT name/number *

NUMBER of attendees *

Date and Time Instructions

Occurrence Format

Single day events, leave “repeating until” field empty.

For classes, enter each occurrence of the week. And in the note field daily/weekly/monthly reoccurrence.
Ex. Classes on Monday, Wednesday and Friday:

from: Mon, Jan 11, 2021
start time: 2:00 pm
stop time: 4:00 pm
repeating until: Mon, May 24, 2021
note: weekly
—
from: Wed, Jan 13, 2021
start time: 2:00 pm
stop time: 4:00 pm
repeating until: Wed, Jun 2, 2021
note: weekly
—
from: Fri, Jan 15, 2021
start time: 2:00 pm
stop time: 4:00 pm
repeating until: Fri, Jun 4, 2021
note: weekly

End Date and Time Instructions

DATE(s) and TIME(s) course/event meets *

1	From * Start Time * Stop Time * Repeating Until Recurrence daily/weekly/monthly
1	From * Start Time * Stop Time * Repeating Until Recurrence daily/weekly/monthly

New Date

EXPLANATION for request of in-person course/event *

COURSE/EVENT contact *

COURSE/EVENT email address *

RESPONSIBLE faculty member *

College / School / Department / Organization *