Facilities Use Request: Internal Departments Only

Please complete the following Event/Room Reservation Request Form

For any questions or concerns, please contact:

Shirley Proulx, Scheduling Technician, Senior

Santa Rosa Junior College, Petaluma

680 Sonoma Mtn Pkwy, Petaluma, CA 95952

707-778-3928

Event Information
Event Date
Main Contact Information
Room 1 Information
Start Time (including prep time)
:
(Some rooms may not be left unattended, i.e., Ellis Auditorium and computer classrooms)
End Time (including break-down)
:
Please describe in some detail what will be occurring at your event.
Tell us any other set-up required. For example, a specific number of tables & chairs, a configuration that was not listed above, etc.
Audio Visual Needs
Contact Angelica Tercero in Media Services at 521-6091, atercero@santarosa.edu.
Choose the items you need.
Please describe any other special equipment needs.
If yes, describe the assistance needed. Please note: Ellis Auditorium and Mahoney Reading Room (if AV requested) require a Theater Technician and certain set-ups in other rooms will also require a Media Technician.
Food
Please Note: many of our rooms do not allow food and you will need a separate area to accommodate the food service. No food/drink is allowed in Ellis Auditorium.
Other Information
Please acknowledge the terms by selecting each statement.
FOR OFFICE USE ONLY