Learning Center Facilities Request Form


Mission: The West (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
ATTENTION: We've Updated our Policies (Please Review Below) View Room Fees, Capacity and the Learning Center Guidelines
Requestor:
Email Address: [REQUIRED]
Event Name or Description:
Number of People to Attend:
Time and Location
Event Date(s):
Event Start Time:
Event End Time:
Room(s)/Location:
Multi-Purpose Room 102		Multi-Purpose Room 103
Conference Room 104		Lounge Room 101
Roof/Amphitheater		Multi-Purpose 102 and 103
MEETING ROOM SETUP Rooms have the following default setup configurations. Changes in room setup are the responsibility of the requesting party. A User Fee of $20 will be assessed whenever additional labor is needed as a result of user activities.
Room 104 (15 Person Conference Room)
Room 103 (35 Person Multi-purpose room)
Room 102 - (25 Person Boardroom)
INTERNAL REQUEST (The sponsor must be present )
Organization/Department:
Department #:
Fund #:
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 Computer for access or have official campus account)
Microphone		Whiteboard
Easels/Flip Chart Stand
FOOD SERVICES AND SUSTAINABLE DINING
The West (Green) Quad Sustainable Dining Project is part of the Learning Center’s mission to promote collaborative relationships to explore the changes required to create a sustainable society. The project was developed to provide sustainability guidelines for groups and to encourage them to experiment with sustainable dining practices. All groups serving food in the Learning Center must pay a User Fee of $20* and follow at least the Silver Level of sustainable dining, which primarily involves serving food with non-disposable dinnerware (see the policies page for more details). When contacting Carolina Catering, request the “Sustainability Option” (also known as the “china option”). For assistance in meeting the Silver Level guidelines, please call the Learning Center at 777-1994. *The User Fee will be waived for groups following the Gold or Platinum guidelines.
Catering?		Yes No
Or Brought In?		Yes No
Does your event support the mission of the West (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 (Please limit to 25 words or less):
I have read and understand the West (Green) Quad Learning Center Guidelines.
Signature: