Coker Life Sciences After-Hours Room Requests
Request to utilize College of Pharmacy room after normal hours. Complete all sections and review responsibilities before submitting.
Room Request Details
Date Requested
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time Requested
*
Room Requested
*
Event/Purpose
*
Organization
*
Requested By
*
First Name
Last Name
Contact Info
*
Responsible Faculty Member
*
First Name
Last Name
Will Responsible Faculty Member Be Present?
*
Please Select
Yes
No
Will You Utilize Technology?
*
Please Select
Yes
No
Technology Needed
Videoconferencing
PowerPoint Presentation
Other
If Other Technology, Please Specify
Instructions & Responsibilities
• If using a computer or equipment, contact IT Tech, Christian Price at copit@cop.sc.edu, 777-0826 for instructions at least 48 business hours prior to the event.
• After event: Equipment and lights are turned off. Doors are locked. Trash is disposed of; if necessary, get trash bag from Dean’s office prior to meeting and dispose of trash and place by larger trash receptacle in hallway.
I agree to the instructions above. By signing below, I acknowledge that I am aware of my responsibilities and understand that failure to comply will result in loss of privileges for my organization in the future.
Signature of Responsible Party
*
Date (Responsible Party Signature)
*
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Printed Name of Responsible Party
*
First Name
Last Name
Contact # (Responsible Party)
*
Please enter a valid phone number.
Format: (000) 000-0000.
Submit Room Request
Submit Room Request
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