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Room Reservation Request Form

A minimum of two (2) business days is required to process reservations. If you are requesting a room within 2 business days, please call 956-9759.

Before you begin: please read our QLCSS Conference Room Policy (required).

Note: If you do not receive an e-mail in your inbox after you submit your reservation request, please check your spam/junk e-mail folder.

Please do not use special characters such as but not limited to: " / or $.

Fields marked * are required.

Section I: Requestor Information

Name:*
Department/Organization:*
Campus Building/Room Number, or Mailing Address:* Mailing Address (line 2): (line 2 optional)
Phone:*
Fax:
E-mail:*
Select the item which best describes your group:* Division of Student Success unit QLC building department

Section II: Room Information

Room Requested:* check room availability
Event Date Requested:*
Event Start Time:* am pm (Rooms are available during hours: 8:00am to 4:00pm.)
Event End Time:* am pm (Rooms are available during hours: 8:00am to 4:00pm.)
Estimated Attendance:*
Purpose of Event:*
I acknowledge that food/beverages are not allowed in ANY rooms, except QLCSS 412 (lounge)* Yes
Please list any additional information or comments for the QLCSS room staff:

Section III: Agreement

Acknowledge Read/Agree:	I, undersigned, understand the rules and regulations for reserving a room in the Queen Liliʻuokalani Center for Student Services (QLCSS), and agree to abide by them.*
Acknowledge Responsibility:	I also understand that I will be responsible for any loss or damages to the facility.*

Submitting this form is a request only and does not guarantee a reservation. A confirmation e-mail will be sent to the requesting e-mail address usually within 48 hours. (Refer to Requesting Use of a Conference Room.)

A copy of your request will be sent to the requesting e-mail address upon submission of this form.

Please notify the room scheduler of any changes made to your original request, including cancellation of event.

Have questions or need assistance with this form, contact: Room Scheduler, QLCSS Rm 407, (808) 956-9759, qlc@hawaii.edu.