Schedule Request Form

Type of Event:

Title (To Be Posted):

Date of Event:

Time of Event (From - Until):

Event Chairperson:

Department:

Contact Person:

Email Address:

Phone Number:

Room Preference (Room Number):

Required Seating Capacity:

Arrangement:

Technology Requirements:

Special Requirements:

Yes
No

Number of Tables:

Number of Easels:

Number of Break Out Rooms:

Other Requirements:

Microphone/Speaker
Telephone/Fax
Podium

Caterer Name:

Approximate Setup Time:

Caterer Meal Type:

Breakfast
Lunch
Dinner
Other

If other, please provide a description:

Timonium