BGS Student PSOM Room Request Form

Please provide as much information as possible in support of your request. All requests will be submitted to the Scheduling and Events Services office and are subject to their review and requirements. Please email Candace Cain (candace.cain@pennmedicine.upenn.edu) with any questions you might have.

Name Name First Last
Email
Student Group Name
Event Title
Preferred Event Date Preferred Event Date / MM / DD YYYY
Preferred Event Start Time Preferred Event Start Time : HH MM AM/PM

Please note that there will automatically be at least 30 minutes of set up/takedown time included in the reservation, i.e. If you request an event time of 5-6pm, the room will be reserved from 4:30-6:30pm.
Preferred Event End Time Preferred Event End Time : HH MM AM/PM
If there are other dates/times that you would accept if your first choice is not available, please list them here.
Approximately how many people do you expect at the event?
Please check off all room types that would be acceptable for this event.

Please check off all room types that would be acceptable for this event. Auditorium (BRB, CRB, JMB, Smilow) BRB Seminar Room (251-253, 1412) BRB Lobby BRB Faculty Lounge (14th Floor) BRB Conference Room Richards B102AB Smilow Seminar Room (8-146AB - 12-146AB) Stemmler Conference Room
If you are requesting a room not listed, please indicate that here.
If you selected multiple options, please list them in order of preference.
What is your preferred set-up type?

What is your preferred set-up type? Classroom Boardroom Clusters Hollow Square U-Shaped Room Default (Set-up style doesn't matter)
Will you require AV?
What type of AV is required?

What type of AV is required? Standard (Screen/Projector, Computer, Podium, etc) If additional AV services/equipment is required, please specify that here.
Will there be food?

Will there be food? Yes No
If known, please provide the name of the caterer you will be using.
If known, please provide the caterer arrival time. If known, please provide the caterer arrival time. : HH MM AM/PM
Will you be serving alcohol?

Will you be serving alcohol? Yes No

Please review Penn's Alcohol Policy: https://catalog.upenn.edu/pennbook/alcohol-drug-policy/
Please provide any other information about your event that you feel would be helpful to know.