Request for Student Union Space | SMALL MEETING ROOM FORM Student Union Event Services Step 1 of 2 50% UConn (Storrs Campus) Space Request and Scheduling SMALL MEETING ROOM FORM | STUDENT UNIONThis request form can be used to submit reservation requests for meetings that would occur between Monday, May 15, 2023 and Friday, May 10, 2024 (The reservation request period for Student Organizations ends Sunday, April 28, 2024).Submit this form for requests to use the following Student Union meeting spaces: SU 221, SU 312, SU 320, SU 321, SU 322, SU 324, SU 325, SU 410, SU 416A | Included: Access to the wireless screen-sharing system so you can present on the installed monitor(s) and/or audio connection to speakers in the space(s) is includedSUBMISSION INFORMATION: Requests must be submitted by noon at least 1-Business prior to the desired reservation date (and by noon on Friday for reservations that would occur Saturday through Monday) | DO NOT submit this form if you plan to have food or a speaker/performer/vendor who is external to the University (Anyone who is not currently a UConn student, faculty, or staff member) as a part of your reservation | DO NOT submit this form if you need a recurring meeting (Please complete the Student Union Indoor Space request form for recurring meeting requests).Acknowledgement I have reviewed the Student Union reservation guidelines and policies. Click to proceed to scheduling form This Request is For A ...* Student Organization UConn Department Basic InformationStudent Organization Tier Designation*Tier ITier IITier IIIWhich Tier III Group are you with?*The Daily CampusGraduate Student Senate (GSS)Nutmeg YearbookPraxisSUBOGUCTVUndergraduate Student Government (USG)WHUSStudent Organization (no acronyms please)* Student Organization (no acronyms please)* Department Name (no acronyms please)* Requestor Name* First Last Officer Position*PresidentVice PresidentSecretaryTreasurerTier III Student Org AdvisorEmail* Phone*Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Method of Payment - Department* KFS Check Cash Credit Card KFS Number*Method of Payment - Student Organization* Using meeting space only KFS Check Cash USG Funding Credit Card Student Organizations may incur fees depending on the type of event. Please review the UGuide for associated fees.KFS Number*This form will not be processed if you do not enter a KFS numberOrganization's Faculty/Staff Advisor Name* First Last Organization's Faculty/Staff Advisor Email* Organization's Faculty/Staff Advisor Name First Last Organization's Faculty/Staff Advisor Email RESERVATION REQUESTWill your event include a non-university entity as an event participant/speaker/performer)?* Yes No A non-University entity is a person, persons, or an organization who is not a current faculty, staff, student, student organization, or University Department. | IF YES, THEN YOU MAY NOT SUBMIT THIS FORMWill you have food?* No Yes IF YES, THEN YOU MAY NOT SUBMIT THIS FORMRequest General Event InformationTitle of Event* Event Planner Name* First Last Event Planner Email* Event Planner Phone*Estimated Attendance* Please provide a detailed description of your event*Is the activity/event/meeting/program closed or open?* CLOSED (Activity/event/meeting/program is only open to members of the organization) OPEN (Activity/event/meeting/program is open to people who are non-members) CLOSED: Activity/event/meeting/program is only open to members of the organization | OPEN: Activity/event/meeting/program is open to people who are not members of your organizationAudience* UConn Students (OPEN: Activity/event/meeting/program is open to people who are not members of your organization) UConn Faculty/Staff General Public Check all that applyWill you be collecting money?* Yes No Including, but not limited to: Charging a registration fee, charging an admissions fee, fundraising activities, and/or collecting donations (required or voluntary)Will you be using a company to sell goods to raise funds for your group or charity?* Yes No NOTE: Customers must use University Catering unless other approval is obtained. If you receive approval from University Catering to use an outside food source, a temporary food permit must be completed. All beverages served must be Coca Cola products.Will there be minors at your event?* Yes No UConn Minors Policy - non UConn students under 18 years of ageAs this event has minors, please contact the Minors Protection Coordinator, Julie Boothroyd at (860) 486-4510 or by email at julie.boothroyd@uconn.edu. All information concerning minors can be found at http://minorprotection.uconn.edu.Request | Event Space, Date(s), Time(s)Venue | Departments* Student Union Available Spaces: SU 221, SU 312, SU 320, SU 321, SU 322, SU 324, SU 325, SU 410, SU 416A Venue | Student Organizations* Student Union Available Spaces: SU 221, SU 312, SU 320, SU 321, SU 322, SU 324, SU 325, SU 410, SU 416A Venue | Tier III Student Organizations* Student Union Available Spaces: SU 221, SU 312, SU 320, SU 321, SU 322, SU 324, SU 325, SU 410, SU 416A Other Student Union-Related Information/RequestsPreferred Date* MM slash DD slash YYYY 1st Alternate Date* MM slash DD slash YYYY 2nd Alternate Date MM slash DD slash YYYY Access Time* : Hours Minutes AM PM AM/PM The time you need access to the spaceEvent/Meeting Start Time* : Hours Minutes AM PM AM/PM Event/Meeting End Time* : Hours Minutes AM PM AM/PM Exit Time* : Hours Minutes AM PM AM/PM Time everyone will have exited the spaceRequest | Event Space Configuration, Setup Needs, and AV NeedsA/V Equipment Needed* Bringing Personal Laptop/Tablet Installed TV Monitor (with wireless screen sharing) | This option also connects to the sound system in the space Audio Only | Bluetooth Wireless Connection Audio Only | For a device with a headphone jack (or a 1/8th inch (3.5mm) connection) Check all that applyTerms & ConditionsAgreement* I agree, on behalf of the Student Organization/Department for which this request is being submitted, to follow all Student Union (UGuide), University, Local, State, and Federal event and space use-related guidelines and policies. I acknowledge that failure to do so may result in loss of reservation privileges, and my reservation(s) may be cancelled. I understand that this agreement extends to all organizational members and event/meeting/program/activity participants and attendees. CommentsThis field is for validation purposes and should be left unchanged. MENUEvent Services Home Reservation Process & Guidelines Event Spaces Reservation Schedule – EMS Reservation Forms Audio Visual and Technology Services Event Planning Tools Cancel Reservation
