COCIS Labs Reservation Request

Technology spaces are available to COCIS students, faculty, and staff.

Name Name First Last
Simmons Email
Phone Phone - ### - ### ####
Are you a...

Are you a... Faculty member Staff member Student
Reservation Information
Are you requesting this room for a:

Are you requesting this room for a: Class Event Meeting Other Other
Name of Class, Meeting, or Event
Course number
Semester
Expected number of students/attendees
What Dates and Times will you need the room?
Which lab are you reserving?

Which lab are you reserving? Tech Lab Classroom B-213 (30 Mac) Collaboratory B-214 (6 Mac) Undergrad Research Lab B-314 (2 Windows)
Additional Comments/Requests

Use this section to provide additional information, comments, questions, or requests that were not mentioned above and may be helpful.
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