Lynchburg College Room Request Form

Note: Items colored like this are required.

Type of Request

Choose Meeting Type

Contact Information

Name:

Phone/Ext.:

E-mail Address:

Please provide an active Lynchburg College email address. A copy of this request will be sent to the email address you provide here.

Dept./Organization:

Meeting Information

Meeting Name:

Number of Participants:

If not sure, best guess

Meeting Date:

Month: Day: Year:

Location

Other (or specific room #):

Click here to check room availability (you must do this before submitting your request).

Meeting Time:

Starts: Ends :

Enter a time like this: 12:00 PM

Setup Time

Before Meeting:
After Meeting :

If required, specify how much time you need to prepare for or cleanup after your meeting.

Additional date(s)
same location & time:

Meeting Comment:

Special Needs (leave blank for media-only requests)

Will this meeting require Food Service? (response required)
Yes (you must also contact Dining Services at x8248 to make arrangements)
No.
Open to the Public
Provide Directional Arrows
Reserved Parking (# spaces: location: )
Special Security Needs (if checked, please also contact Security at ext. 8452 to arrange)
Special Setup (# chairs: # tables: explain any details in comment below)
Physical Plant Trash Cans
Physical Plant Cleanup

Please contact Media at ext. 8250 to arrange any additional setup needs

Media Support(enter number or leave blank)

TV	Screen	Table Podium
TV Stand	Audio cassette player/recorder.	Standing Podium (Ballroom & Burton only)
VCR	Extension cord	P.A. System (specify type in comment)
Overhead projector	Surge Suppressor	Camcorder & tripod
Overhead stand	Digital Projector (contact ITR)
DVD Player	Digital Projector Cart
Slide projector	Laptop/Notebook Computer (contact ITR)

Please note that you must also contact ITR (ext. 8350) to reserve laptop computers and/or digital projectors.

Media Comments:

You must click this button to submit your request. Please review all data before submitting.