UAS Internal Request for Use of Space Form

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OSU Urban Arts Space

Internal Request for Use of Space Online Form
(For current OSU Students, Faculty and Staff)

Please enter the following information:

First Name: *
Last Name: *
Title:
Department:
College:
Address Line 1: *
Address Line 2:
City: *
State/Province: *
Zip/Postal Code: *
Phone: *
Fax:
OSU E-mail (name.##@osu.edu): *
I am: *
If "Current OSU Student", what rank are you?:
Event name: *
Event Description:

Starting date and time: *
Ending date and time: *
Estimated number of participants: *
Event Contact: *
Participating Departments:
Which spaces would you like for your event?:*Upper GalleryLower GalleryConference SpaceKitchen
Special Needs (ex. chairs, technology):

Do you want to serve alcohol at your event? *
Do you want an exhibition in conjunction with your event? *
Do you need a list of approved caterers? *

Note: All fields marked with an * are required.