SCPKU Facility Reservation Request Form

Please complete the following form if you are interested in booking facilities at SCPKU. Complete one form for each separate event and submit via the "Submit Form" button at the bottom of the form.

* indicates required fields.

Event Start Date (MM/DD/YYYY) *

Event End Date (MM/DD/YYYY) *

Event Start Time *

Event End Time *

Event Type (conference, lecture, reception, presentation, reception, etc.) *

Event Title *

Stanford Administrative Contact Name *

First *

Last *

Stanford Administrative Contact Email *

Stanford Administrative Contact Phone *

Stanford Dept or Administrative Unit Hosting/Sponsoring Event *

Sponsored Organization Name (if applicable, for non-Stanford org)

Event Planner Name *

First *

Last *

Event Planner Email *

Event Planner Phone *

NOTE: The event planner must be on-site at SCPKU from event set-up through the completion of the event to oversee logistics.

Number of people attending *

Specify budget if available/applicable

Any specific room preference(s)?

NOTE: If interested in the Highly Immersive Classroom (HIC), IN ADDITION TO completing this form, go to http://www.gsb.stanford.edu/stanford-university-community/plan-event/venues/hic for further information or to request use of the space.

Type of room set-up (chair/table configurations, etc; ex: "seminar table for 15," "theatre seating for 50," etc.) *

Do you need other spaces (e.g., dedicated space for separate meal, exclusive use of separate seating areas, breakout spaces, etc.)? Enter "N" if no other spaces needed. *

Audio-visual needs (e.g., laptop projection, plasma screen, DVD, microphones, etc.)? Enter "N" if no AV needs. *

Translation needs (sequential or simultaneous)? Enter "N" if not needed. NOTE: These types of services are typically subject to an additional 10% administrative fee. *

IT needs (e.g., Ethernet connection/wireless access)? Enter "N" if not needed. *

Food and beverage needs (e.g., buffet lunch, coffee/tea service, reception, major dietary restrictions, etc.)? Also specify budget if available/applicable. Enter "N" if not needed/applicable. NOTE: These types of services are typically subject to an additional 10% administrative fee. *

Hotel reservation needs (check in/out dates, number of rooms, and budget). Enter "N" if not needed. Note that hotel payment needs to be handled by conference organizer, and minimum of 60 days' advance notice prior to the check-in date is typically required for optimal availability and pricing. *

Other needs (e.g., airport pickup service, PKU vehicle entrance permits, copying/printing services, hanging banners, signage, registration desk, security, etc.)? Enter "N" if not needed. *

If applicable, add other information here that will help in booking process

PTA # for charges (required for CONFIRMED reservation) *