Learning Center Facilities Request Form


Mission: The Green Quad Learning Center is dedicated to supporting students, faculty, staff, and community members in exploring the personal, social, political, cultural, and technological changes required to create a sustainable society

Learning Center Facilities Request Form
View Room Fees, Capacity and the Learning Center Guidelines
Requestor:
Email Address: [REQUIRED]
Event Name or Description:

Event Date(s):
Event Start Time:
Event End Time:
Room(s)/Location:
Entire Facility	Lounge Room 101
Multi-Purpose Room 102	Multi-Purpose Room 103
Conference Room 104	Kitchen
Roof/Amphitheater	Multi-Purpose 102 and 103
INTERNAL REQUEST (The sponsor must be present )
Organization/Department:
Sponsor/Advisor:
Sponsor/Advisor Phone:
Sponsor/Advisor Email Address:
Will there be registration fees?	Yes No
EXTERNAL REQUEST (The sponsor must be present )
Organization:
Contact Name:
Address:
City:
State:
Zip:
Contact Phone:
Contact Fax:
Contact Email Address:
Will there be admission charged?	Yes No
EQUIPMENT
TV/DVD/VCR	Laptop
Smart Board	LCD Projector
Overhead Projector	Internet access (must use the University of South Carolina laptop for access)
Microphone	Whiteboard
Easels/Flip Chart Stand
FOOD SERVICES ($20 Food Fee)
Green Quad does not provide catering. If food will be brought in or catered please indicate below
Catering?	Yes No
Or Brought In?	Yes No
Caterer's Name:
Caterer's Phone:
MEETING ROOM SETUP
Pick the seating style you prefer and the number of people to attend event.
	Boardroom
	Classroom
	Closed Boardroom
	Theatre
	U-Shape
Number of people to attend event:
Does your event support the mission of the Green Quad Learning Center? Yes No If yes, briefly describe the purpose of the event below.*
Special Instructions, Recurring Date Information, and/or *Purpose of the event:
I have read and understand the Green Quad Learning Center Guidelines.
Signature: