Room Booking Request Form Your Name:* First Last Your Email:* Title of Session:*Brief description (1-2 SENTENCES):*Is this a ...?* Course Meeting Date:* MM slash DD slash YYYY Time Frame (ex 1 pm - 2 pm)* Name of Instructor or speakers(s) and their title eg Executive Director of the CPA:* Maximum Enrollment:*Intended Audience – eg PT clinicians, PT students* Are all of the students Uof T students?* Yes No If not, who else is attending? Does the instructor have insurance?* Yes No Is there a fee for students?* Yes No If so, is the fee for students discounted?* Yes No Is the session/course for profit or break even?* Profit Break Even Rooms requested:* Have you every booked a room at 500 University before?* Yes No If yes, please indicate how frequent you book and when the last time you booked a room here.
