Meeting Room Reservation Form IUPUI Internal Requests Only

This form is not a contract and should not be construed as such.

This form is only to be used for departmental meetings/retreats requests. If you want to schedule a classroom at one of the centers for either a credit or a noncredit class/workshop, please contact Lorean Kegeris at or (317) 278-9701 for more information.

You may schedule the Center for use: Monday-Friday, 8:00a.m.-5:00p.m. Requests for Saturday reservations must be made directly to the Center manager. Clients must comply to Center training hours. Instructor(s) may arrive 30 minutes prior to event.

CANCELLATIONS: In order to avoid the room charge in case of cancellation, you must notify us at least 24 hours prior to your reserved start time.

Select a learning center:
Department/Organization Name:
Campus Address:
Department Account Code: --
Nature of Meeting/Training:
You must select a date by clicking on the calendar icon.
Date(s) of Meeting/Training: Select a date to Select a date
Day(s) of the Week for meeting/training: Su  Mo   Tu  We  Th  Fr   Sa
Event Title:
Event Time (hh:mm am/pm):  To 
Contact Person:
Phone Number: --
Cell Phone Number: --
Second Contact Person:
Phone Number: --
Cell Phone Number: --
Number of Total Participants:
Classroom(s) ($20 per room per day for departments only; *no fee for student organizations)
*AV Podium which includes: computers, ceiling-mounted LCD projectors, DVD/VCR, plus screens, and white boards.
Number of Rooms 
 Number of Participants of each room used:
Computer Lab
*AV Podium which includes: computer, ceiling-mounted LCD Projector, DVD/VCR, and interwrite broad.
Software Needs:
Breakout Area Needed   Breakfast   Lunch  Snacks
Will Client be using catering?     Bringing Items? 
Additional Item per Request:
Wireless Microphone
Number of days:
Polycom Usage:
Number of days: 
Number of days:
Dates:  Times:  Breaks:
Flipcharts/easel/markers ($10.00 per set for departments only)
Number of sets:
Set-up Options for classrooms:
Classroom (table with chairs)
Open Square (May limit number of seats indicated for room capacity)
Tables grouped (May limit number of seats indicated for room capacity)