Event Form

Please fill out this form to request an event space.  The event form must be completed at least three business days prior to your event and you will be e-mailed a copy of this form upon its submission.

You will be asked to provide your contact information. The information that is collected from this form will not be shared with any other university departments or external contacts and will be used to schedule your room booking(s)/send you confirmation.

Please contact La Toya Dennie, Outreach Coordinator, immediately if you are experiencing any issues with this form.

Do you require OHPSA to book the room for you?*
Is this a reoccuring event?
Do you require videoconferencing*
Please use the list below to indicate your A/V requirements
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.