ROOM RESERVATION REQUEST FORM

ROOM RESERVATION REQUEST FORM

THE OFFICE OF ONLINE LEARNING

The Office of Online Learning maintains several facilities for academic enrichment. We purposefully invest in progressive spaces and technology to support the mission of the University and our campus community. As custodians of these valuable university resources, we expect guests who utilize the rooms to treat all furnishings with care and respect. Descriptions and photos of the rooms available are provided below.

Hattiesburg faculty and staff may reserve IC 102 and IC 318 when available. The IC 317 training lab is reserved for the Office of Online Learning's training and academic classes; non-academic training and other activity requests will be assigned to IC 102. Hattiesburg students may reserve IC 318 when available.

Gulf Park faculty, staff, and students may reserve GLIB 101 and GLIB 204 when available.

Requests for reservations outside of normal business hours (M-F 8am- 5pm) will be evaluated independently and require special arrangements based on staff availability. IC 317 is only available Monday through Friday 8am- 5 pm.

Please email questions to online@usm.edu.

Available Facilities (photos and descriptions)

1Reservation Details > 2Terms of Use > 3Review Your Entry
Section 1: User/Usage Information
Your Name Your Name * First Last
Your USM ID Number (omit "w") *
Must be between 6 and 10 digits. Currently Entered: 0 digits.
Your Email *
Your Phone Number Your Phone Number * - ### - ### ####
Unit/Department *
Valid USM Departmental Charge Code

We reserve the right to charge the departmental account for damaged property, clean up, or missing items.

See terms and conditions on following page.
Fund
Example: 10H14 *
Department
Example: 190022 *
Program
Example: 02000 *
Project/Grant
Example: GR02936
Event Details
Request Type: *

Request Type: Class Session Training Session Group Meeting Seminar / Workshop Other (describe) Other (describe)
Class/Group Name or Event Title *
Purpose of Reservation *
Technology Needs:
Be mindful of the resources available in the rooms as outlined in the room descriptions. Also, please note that while we can assist with setup, Our staff are not available to operate technology or be on call for your event.

Do you need projection capability? access to internet? laptops? video conferencing? presentation tools? specialized software? whiteboards? Please detail here.
Is the person requesting the room the same as the person who will be using the room? *

Is the person requesting the room the same as the person who will be using the room? Yes No

Requester is responsible for ensuring session leader is aware of all conditions of usage.
Leader's name (if different from person submitting request)

Leader's name (if different from person submitting request)
First Last
Section 2: Scheduling
Preferred Room (click here to see each room) *

Preferred Room (click here to see each room) [HBG] IC 102 Training Lab [HBG] IC 318 Experimental Classroom Not sure / Please help me choose
Number of expected attendees. Please enter the maximum participants anticipated.
*
Event date and time:

Please list your primary date/time choice in Preferred Date and if possible, an alternate date/time in the event that date is unavailable. Please request additional date(s) on separate form(s).
Preferred Date Preferred Date * / MM / DD YYYY

Your first choice date and time. Please enter alternate below.
Start Time Start Time * : HH MM AM/PM
End Time End Time * : HH MM AM/PM
Alternate Date (in the event your Preferred Date is not available) Alternate Date (in the event your Preferred Date is not available) / MM / DD YYYY

Please give an alternate date and/or time in the event the room is unavailable on your preferred date.
Alternate Start Time Alternate Start Time : HH MM AM/PM
Alternate End Time Alternate End Time : HH MM AM/PM
Food and Beverage Authorization *

Food and Beverage Authorization I am not providing food or drinks. I request permission to serve food and/or drinks. Details are in the box below.

Food and drinks are generally NOT allowed. See "Special Provisions Regarding Food and Beverages" on the following page for terms and conditions.
Comments or additional notes about your event. Please use a separate form for EACH date to create a record of your request(s).

* Please request additional date(s) on separate form(s).