Library Instruction Room New Rochelle Campus Reservation Form - Non- Library Staff

First Name and Last Name *
Email Address *
1. Please enter today's date: *
2. Your CNR position: *
3. Your telephone number where we can contact you: *
4. Day requested? *
5. Date requested: Month *
6. Date Requested: Day *
7. Start Time (approximate to half hour) Be sure you have consulted the Library Hours of Operation before completing this section. *
8. End Time (approximate to half hour) Be sure you have consulted the Library Hours of Operation before completing this section. *
9. Alternate Day
10. Alternate Date: Month
11. Alternate Date: Day
12. Alternate Start Time (aproximate to half hour) Be sure you have consulted the Library Hours of Operation before completing this section.
13. Alternate End Time (approximate to half hour) Be sure you have consulted the Library Hours of Operation before completing this section.
14. Reason for requesting LI Room: *
15. Number of Occupants: *
16. Name of individual conducting program: *
17. Has the instructor previously used the LI Room? *
Yes
No
18. What equipment will be used? (check all that apply) *
Student Computer Workstations
Instructor Computer Workstation
Overhead Projector
Chalkboard
Other (Please elaborate in the next question.)
19. If you selected Other from above, please specify and elaborate on any setup needs you may have:
20. Will printing be required? *
Yes
No
21. Questions/Comments
22. By checking the box below and clicking "submit" you acknowledge the following: *
I have contacted the Registrar at (914) 654-5213 to request a computer room for the class/program and it was not available.