ASRC Room Reservation and Request Form

Contact Information

Name

Department or Organization

Address

Email Address

Faculty Advisor

If you are a student organization you must have a faculty advisor. The faculty member must email africana@cornell.edu acknowledging that they approve the event.

Account Number

Use of Account: Your account will be charged for any damages and clean up that result from your event. A Cornell faculty or staff member must be responsible for all student events. They must attend the event and see to such tasks as monitoring the use of the room and equipment, returning the room to its original condition, and locking the room, equipment and building following the event.

Event

Title of Event

Event Description

2-5 sentences: Lecture, discussion, panel, reception, etc.

Room(s) Requested

No food is to be setup inside the Multipurpose Room; you must reserve the Lobby for food setup.

Multipurpose Room

Lobby

Hoyt Fuller

ASRC 111

ASRC B01

ASRC B07

Date

If multiple dates, please fill out a separate form for each date.

Starting Time

End Time

Estimated Number of Attendees

Intended Audience

(Open to the public, invited guests only, Cornell students, staff, faculty, Ithaca community, etc)

Food Being Served

Caterer

Name of Caterer you have contracted must be on the University's Caterer List.

Alcohol Being Served

An Event Registration Form must be filled out for the following events:

Events with food and/or alcohol.
Events that take place outdoors.
Events where money is collected (sales or fundraising).
Events that may be seen as controversial and/or high risk (i.e. high-profile speakers, politicians, protests, etc.).

** PLEASE NOTE: Events should be registered at least 3 weeks prior to the start date. Student organizations may be fined for late filing, or lack of filing an Event Registration Form.
Forms must be completed and confirmation of approval sent to (africana@cornell.edu) prior to the event.

Person Responsible for Serving Alcohol

Set-up and Facilities

Parking is subject to Cornell University and Cayuga Heights regulations. You are responsible for arranging for parking for your participants and guests.

For other parking options contact the Cornell Conference and Guest Parking: Telephone: ( 607) 255-4625 (website).

There are limited a limited number of parking spaces in the Africana parking lot for visitors to park.

The Africana Studies and Research Center is not responsible for parking tickets that are given during your event at the Center.

Parking

I have read the parking rules and regulations.

AV equipment needed

We recommend that you arrange to come in a few days before the event to test the set-up. Room set up and return is your responsibility.

Other Deliveries (tables, chairs...)

Please list the date and time of your delivery, the company that will be making the delivery, person from your organization responsible for meeting delivery people and a way to get a hold of that person (cell phone number, email...)

This request is only a request until you receive official confirmation from ASRC either by email or hard copy.

Please do not assume this is a contract or that you have a confirmation otherwise.

NOTE: Rooms placed “on hold” will be reserved for seventy-two (72) hours and then released.

Attestation

The information I have given in this application is true and correct and I will contact Africana Studies if anything changes prior to the event.

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