Conference Room/Classroom Reservation Request Form

This form is used to reserve a conference room/classroom in the Social Work/Smart Hospital building. All reservation requests must be made at least 5 business days in advance.

This form is to be used by Social Work Faculty and Staff only.

Student Organizations – to reserve a conference room, please contact the Student Organization Office (Julia Cornish) at juclark@uta.edu or 817-272-2293.

Your Name Your Name * First Last
Your Email *
Event/Meeting Name or Title *
Event/Meeting Start Date Event/Meeting Start Date * / MM / DD YYYY
Start Time Start Time * : HH MM AM/PM
End Time End Time * : HH MM AM/PM
Repeats:
Date Repeated Meeting Ends Date Repeated Meeting Ends / MM / DD YYYY
Approximately how many attendees are you expecting? *
Requested Conference Room
Requested Classrooms
(For Social Work Dept. use only. Other departments please use Astra to reserve.)
Event Description *
Additional Information
Acknowledgement *

Acknowledgement I understand that I must contact the Special Events Coordinator (email Jamilet Martinez at Jamilet.martinez@uta.edu) for event planning and/or Communications assistance (email Jessica Davis at jessica.davis@uta.edu) if I would like to publicize, and/or promote my event. I acknowledge that this form will ONLY reserve a conference room/classroom for my meeting/conference/event and that space could be limited for the date(s) and time(s) I have specified.