Continuing Education
Room Request Form

Submitting a request does not guarantee availability.  All reservations will be confirmed via email after Continuing Education Director or designee approval.  If you need tables or other items for your event a request should be made directly to Plant Operations or Media & Printing Services.   To view a list of available rooms go to http://adminservices.clayton.edu/provost/CE Room Rate Flyer _3_.pdf.

 

 

Contact Information

Name:        

Email Address: 

Phone:         

 

Purpose of Request

Purpose:

Title of event:

Describe activity, event or program:

 

Reserved Space

Estimated attendance:

Start Date:               

End Date:                

Time:             

1st Room Choice:  
2nd Room Choice: 
3rd Room Choice:  

Total # of rooms needed: 

 

Equipment Request

Table(s) Chair Data Projector Portable Screen
TV, VCR & DVD Player Microphone Podium Dry-Erase Board
Extension Cord Sound-System Stage  

 

Catering

Will there be food at this event? 

If so, who will provide? 

 

Approvals

Provost Office Approval: 

Continuing Education Approval: