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Space Reservation Form
All fields are required - please include as much information as possible, and use "N/A" if needed.
If you have any questions, please call the Multicultural Center at (404) 413-1584 or stop by (Student Center East, Suite 206) between 8:30am and 5:15pm, Monday-Friday. We will be in touch by email to confirm your reservation or discuss your request further. Thank you!
Campus ID
Write-In Answer
Name
Write-In Answer
Organization/Department
Write-In Answer
GSU Email
Write-In Answer
Reservation Purpose
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Study
Meeting
Discussion
Speaker/Lecture
Performance
Rehearsal
Other
Reservation Type
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Individual
Group
Student Organization
Department
Faculty/Staff
New Answer
Please describe the purpose of the space request
Write-In Answer
Date Requested (xx/xx/xxxx)
Write-In Answer
Start Time
Write-In Answer
End Time
Write-In Answer
Space access time (if time is needed for setup)
Write-In Answer
Preferred Space
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Conference Room A - Large Screen, Phone for conference calls (9 people max)
Lobby (50 people max)
MultiYou Room - used for prayer, meditation, clothing change, etc. (1 person)
Gender & Sexuality Resource Center (28 people max)
How many will be in attendance? (1 for a single person reservation, etc.)
Write-In Answer
Is this request reoccurring? If so, what dates and times?
Write-In Answer
Advisor Name (If student organization)
Write-In Answer
Advisor Email (If student organization)
Write-In Answer
Advisor Phone Number (If student organization)
Write-In Answer
Will there be catering? (All catering for the Student Center must be made through Panther Dining Catering. Please contact Panther Dining at
https://dining.gsu.edu/catering/
if you are having catering.)
*
...
Yes
No
To ensure the safety and well-being of all persons who may use this space, I agree not to bring seafood into the Multicultural Center.
I understand that if this is violated, I may not be eligible to use Multicultural Center space in the future.
...
I agree
I do not agree
I understand that any violation of University or Multicultural Center policies may prevent future space reservations. I understand that the Multicultural Center reserves the right to take any course of action if center policies are violated.
...
I agree
I do not agree
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