Make a Reservation

Plan Your Event

Filling out the form below, will notify our event planner of items you will need during your event. In order to reserve the room, and get your event listed on the calendar, you will need to:

1. Contact Gerry Johnson at gerry.johnson@doane.edu to reserve the room.
2. Fill out the 'submit an event' form to get your event listed on the calendar.
3. Fill out the form below, for assistance from our event planner.

Your Fullname:
E-mail:
Phone Number (no spaces or dashes):

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Name of Event:
Date of Event (mm/dd/yyyy):

Budget Code: Budget:

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Location of Event (reserve room w/ gerry.johnson@doane.edu or @ ext. 8226):

Time of Event: a.m. p.m. to a.m. p.m.

Setup Time: Take Down Time:

Number of People Expected:

Special Considerations Necessary for People w/ Disabilities? No Yes

If Yes, What?

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Please check all that apply

AV Needs

	Podium with Mic		Free Standing Mic
	Lapel Mic		Speaker Phone
	Web Conference		Guest Laptop Connection
	LCD Projector		Dual Screen/LCD Projector(EA 236-240 Only)
	TV		DVD/VHS
	PC/Laptop with Sound		PC/Laptop without Sound
	Wireless Presentation Remote

Room Setup

Round Tables (8 or 10 seats) - #
Tables (6 or 8 ft.) - #
Chairs - #

Room Arrangement (link to pdfs)

	Board Room		Herringbone
	Hollow Square		Reception
	Schoolroom		Seated w/rounds - Choose 8 or 10
	Maximum Classroom		U-Shaped

Food

Yes No Will you be needing food? (All food served on campus will be ordered through Sodexo)

	Breakfast		Lunch
	Dinner		Veggie Tray
	Fruit Tray		Dessert Buffet
	Snacks		Other