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Africana Studies & Research Center
Submitted by
dlp254
on June 21, 2019
1
Start
2
Complete
Room Request and Reservation 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
*
(Lecture, discussion, panel, reception, etc)
Room(s) Requested
*
Multipurpose Room
Lobby
Hoyt Fuller
ASRC 111
ASRC B01
B07
No food is to be setup inside the Multipurpose Room; you must reserve the Lobby for food setup.
Date
*
Year
Year
2019
2020
2021
2022
2023
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
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30
31
Please fill out one form per date.
Starting Time
*
Hour
Hour
1
2
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6
7
8
9
10
11
12
:
Minute
Minute
00
01
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59
am
pm
End Time
*
Hour
Hour
1
2
3
4
5
6
7
8
9
10
11
12
:
Minute
Minute
00
01
02
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59
am
pm
Example: Please include at least 30 minutes for your caterers to set up and tear down also to set up and test your presentation with AV equipment. If you are having items delivered and stored in the room you will need to make the reservation to include the date of delivery as well as the event date!
Estimated Number of Attendies
*
Intended Audience
*
(Open to the public, invited guests only, Cornell students, staff, faculty, Ithaca community, etc)
Food Being Served
*
Yes
No
Caterer
*
Name of Caterer you have contracted must be on the Universality's Caterer List http://www.risk.cornell.edu/events/special-events-guidelines/caterer-list/
Alcohol Being Served
*
Yes
No
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. https://activities.cornell.edu/EventReg/guidelines.php 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
*
Parking is subject to 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: http://www.transportation.cornell.edu/tms/cms/parking/about/conference_parking_request.cfm) 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.
I have read the parking rules and regulations.
AV equipment needed
Yes
No
We recommend that you arrange to come in a few days before the event to test the set-up. Room Set-up Requirements; 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...)
Only A Request
*
THIS REQUEST IS ONLY A REQUEST UNTIL YOU RECEIVE OFFICIAL CONFIRMATIN BY ASRC EITHER BY EMAIL OR IN HARD COPY. PLEASE DO NOT ASSUME THIS IS A CONTRACT AND THAT YOU HAVE A RESERVATION OTHERWISE. NOTE: Rooms placed “on hold” will be reserved for seventy-two (72) hours and then released.
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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