Test - CSWE Local Meetings Request Form

Request Date

Staff liaison

Meeting title

Meeting Date(s) (Day, Month, Year): From

To

Time: Start

End

# of Attendees

# of CSWE staff

Meeting start before 8am, end after 6pm, weekend hours/Extra building services required?

Yes No

Account Code

Budgeted amount

Meeting rooms requested

Carl A. Scott A and B Carl A. Scott A Carl A. Scott B Ida B. Wells - Barnett Katherine A. Kendall Library Staff lunch room 333 First Floor Conference Room Outside/hotel meeting space is required

Carl A. Scott Room setup

Hollow square U Shape E Shape Conference style Classroom Other (needs follow up)

Audio visual

Laptop computer Access to shared drive LCD projector Zoom

# of Laptop

Supplies

Flipcharts

# of Flipcharts

# of Dots

Dots

Name Badge Table

Yes No

Other Materials/Supplies Needed

Food And Beverage

Meal	Date (s)	Time (delivery time is half hour window)	CSWE provide?	Attendee on own?
Breakfast
Lunch
Dinner
Coffee/Sodas
Reception Food
Wine for Reception(s)
Other

Hotel Rooms Required?

Yes, Staff Liaison to provide rooming list (Meetings to provide sample rooming list) No

Payment

Hotel paid by project budget (room and tax only) Parking paid by project Attendee/Pay on own

Date (s)	# of hotel rooms to reserve	Special Requests	Other/Notes




Total Room Nights

Approval Signature (Type Name Here)

Date

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Test - CSWE Local Meetings Request Form