Edward St. John Learning & Teaching Center

Edward St. John Space Request Form

Please fill out this form as completely as possible. The ESJ operations manager will be in touch to discuss scheduling and possible charges for the event.

* Required

UMD Unit Abbreviation

UMD Unit Full Name

Organization Name *

Date Submitted

Organization Type *

UMCP Campus Academic

UMCP Campus Non-Academic

UMCP Student Group

Commercial

Non-Profit

Individual (not affiliated with an organization)

Event Name *

Contact Name *

Secondary Contact Name

Contact Phone Number *

Secondary Contact Phone Number

Contact Email *

Secondary Contact Email

Preferred Date(s) *

Preferred Space(s) (describe needs if do not have a specific room in mind) *

Classroom Set Up and Tear Down Times *

Actual Event Start and End Times *

Will this event have food or a reception?

Please describe in detail, including desired locations and food to be served. Please note that food and/or catering setups are not allowed in ESJ's classrooms. General Space in the building for food set-up and consumption is available for an additional fee.

Reception Set Up and Tear Down Times

Actual Reception Start and End Times

Would you like to rent a 6' table for catering and/or registration?

Tables are $12 each. You are responsible for retrieving tables from storage in ESJ, and for returning them, cleaned, at the conclusion of the event. ESJ does not provide table linens.

# of Tables Requested

Name(s) and UID(s) for Access to Table Storage

(Must be faculty or staff.)

Event Type *

Lecture

Conference/Symposium

Training Session

Meeting

Reception

Film Screening

Other

Please describe your event

Audio/Visual Needs

Who will be attending this event?

Approximate number of anticipated attendees

Event Pricing

Invite Only/Private Event

Free for Anyone to Attend

Some or All Participants Must Pay to Attend

Will there be minors at the event? If yes, please elaborate

KFS Number (campus users are required to fill in account to which any agreed upon charges or subsequent damages can be billed)

Business Manager Name

Physical Address