Room Request Form : Department of Curriculum and Instruction : Texas State University

Please fill out and submit AFTER you have confirmed the date and time of your event.

Contact Information

Full Name *

E-mail Address *

Event Details

Name of Event *

Type of Event *

Title of Event (i.e. Title of Thesis/Comps/Dissertation, Subject of Meeting, Purpose of Event, etc) *

Do you need media assistance with this event? *

Committee Chair (if not applicable to this event, please type NA) *

Committee Co-Chair (if not applicable to this event, please type NA) *

Other Committee Members/Meeting Participants *

Date, Time and Room

Start Date *

Start Time *

End Date *

End Time *

Location - 1st Choice *

Location - 2nd Choice *

Location - 3rd Choice *

This request if for a(n): *

Single Event

Reoccurring event

If reoccurring, please list all dates and times

Additional Comments

Please Note: *

Checking this box indicates that you have CONFIRMED that all of your committee/meeting members have already agreed/verified that they can attend this event at the date and time that you've selected. Submitting this request does not reserve the room. After availability has been confirmed, a calendar invite will be sent to complete your request

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