Your Name:  
Your Email Address:  
Phone Extension:  
     
Type of Event:
Meeting:  
Study Group:  
Class:  
Other:  
Please specify:  
     
Date of Request:  
Start Time:  
End Time:  
Access Time:  
     
Preferred Room (please select):
Small Conference Room:  
Classroom 517:  
Classroom 517A:  
Classroom 638A:  
No Preference:  
     
Reason for Request:
   
     
# in attendance:  
     
Audio/visual needs (please select):
Laptop/Computer:  
LCD Projector:  
TV/VCR/DVD:  
Transparency Machine:  
Other:  
Please specify:  
     
One time use?:
Yes:  
No:  
Schedule for entire semester?:
Yes:  
No:  
     
A confirmation e-mail will be sent to you within 2 business days of receipt of your request. Please note that the submission of this request does not guarantee approval for use of the space. Rooms are not confirmed until you receive a confirmation from the Psychology Department’s Staff Assistant. If we are unable to grant your request, please see the following Suffolk University links for alternate room reservations: http://www.suffolk.edu/offices/13353.html and http://www.suffolk.edu/campuslife/7266.html.