VCU Health Sciences – Room Scheduling Request form

Please note the following policies.

Food or beverages are not permitted in any auditorium, lecture hall or classroom at any time.
The person in charge is responsible for the condition in which the room is left, and must make certain that it is in order for the next class. Chairs and tables may not be removed from the room. If chairs and tables are rearranged within a room, they must be returned to the original order at the end of the session.
All courses, seminars, rounds, meetings, etc., are scheduled to begin on the hour (or half hour) and end 10 minutes before the hour (or half hour). This schedule must be adhered to in order to avoid conflicts with other scheduled classes and events.
If you have any questions about completing this form, please contact Ms. Alice Mitchell at 828-9594.

E-mail address (required):
Date(s) needed:
Beginning time:
Ending time:
Day of the week:
Course name, seminar title or event name:
Subject code:
Course number:
Section number:
Course Record Number (CRN):
Brief description of event:
Is wheelchair access required?	Yes No Unknown
Number of people attending event:
Person in charge:
School or department:
University or hospital?	University Hospital
Name of person submitting request:
Phone number of person submitting request:
Box number of person submitting request:
Preferred building/room, special instructions, additional information, teleconferences:
Budget code: (required)
Food provided or served?	Yes No
Alcohol served?	Yes No
Date of this request:
To make multiple requests, please use the “Back” button on your browser after you have submitted the current request.

Richmond, Va.