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GALEN UCSF DIGITAL LIBRARY

> Services > Computing > Classroom Reservation

Classroom Reservation

Use this form to request the classroom. UCSF academic and library use are given priority; all other use is granted on an availability basis. Completing this form does not guarantee the dates you requested.

Select Classroom: *

Class Title: *

Instructor's Name: *

Class Date: *

Class Start Time: *

:

am

pm

Class End Time: *

:

am

pm

Class End Date (optional -- use to indicate end of ongoing classes):

Standard Equipment for Room CL222

DVD/CD Burner
Dry erase board
Instructor microphone
Internet access
LCD projector
Sound
2.0 GHz CPU
17" flat monitors
20 GB hard drive
USB flash ports

Standard Equipment for Room S165A

DVD/CD Burner
Dry erase board
Instructor microphone
Internet access
LCD projector
Sound
2.0 GHz CPU
17" flat monitors
20 GB hard drive
USB flash ports

Standard Equipment for Room CC151

DVD/CD Burner
Dry erase board
Instructor microphone
Internet access
LCD projector
Sound
G-5 Processors 17" Flat monitors

Additional Requirements:

Additional requirements for CL222

Software: select all that apply:

EndNote

FireFox

Internet Explorer

Windows XP Access

Windows XP Excel

Windows XP PowerPoint

Windows XP Word

Other

Software for CL222

Pre-Class Setup Required: select all that apply:

Files

Software

Other

Pre-class setup for CL222

STEP 2: CONTACT INFORMATION

Name: *

Department/Organization: *

Email: *

Phone:

Fax:

Box Number:

Mailing Address 1: *

Mailing Address 2:

City: *

State: *

Zip: *

STEP 3: BILLING INFORMATION

Use of the classrooms is subject to our fees described under charges.

Name:

Department/Organization:

Email:

Phone:

Fax:

Box Number:

Billing Address 1:

Billing Address 2:

City:

State:

Zip:

UCSF DPA Fund NCA:

Other Routing Information:

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