Please complete and submit the following form to make a reservation request for the College of Nursing Polycom and/or Teleconference.

Requestor (name):

Requestor's email:

Meeting/Group Purpose (e.g. GAAC, Faculty Search)

Meeting Method:
Polycom
Teleconference
Both (combine video call with teleconference)
F2F (just need to reserve a room)

Meeting Date:
Day of Week Monday Tuesday Wednesday Thursday Friday Saturday Sunday Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Meeting Start Time:
1 2 3 4 5 6 7 8 9 10 11 12 : 00 15 30 45 AM PM

Meeting End Time:
1 2 3 4 5 6 7 8 9 10 11 12 : 00 15 30 45 AM PM
**For RECURRING Requests, please enter first meeting date and times above and indicate type of recurrance in the comments section, listing remaining dates.

Room(s) Requested: (check all that apply)
No room needed

Meeting Password: (optional)
Password required for meeting participants?
A password will be automatically generated and included with email confirmation of the meeting. *** It is YOUR responsibility to provide the password to all meeting participants. ***

List all other locations in the call NOT indicated above:

Additional comments or instructions: