Notes: The organization and purpose of the meeting must be specifically related to the mission of Changemaker Central. Reservations may be up to one (1) hour. If nobody reserves the space after you, you may stay until the next reservation. Food is allowed if the group cleans up completely after themselves. Vendors must be ASU approved. Restrictions vary by site – please contact a Change Agent for additional information. Space is available on a first come-first served basis. Availability of space is not guaranteed until a confirmation has been issued. Please alert us as soon as possible if you need to cancel or reschedule your reservation. Name of group * Event Name Event Purpose Is this a recurring event? Yes No Comments Location Requested * - Select -Downtown Phoenix CampusPolytechnic CampusTempe CampusWest Campus Type of space needed * - Select -Private OfficeConference room (Please note that different location have different amenities – a Change Agent will contact you if we cannot accommodate your specific request) Type of space needed * - Select -Private office (seats 3-4 people comfortably, computer)Conference room (seats 20 people comfortably, projector)Seating area (seats 5-8 comfortably)Collaborative Work Space (seats 15-20 people comfortably, white boards, 3 computers) (Please note that different location have different amenities – a Change Agent will contact you if we cannot accommodate your specific request) Type of space needed * - Select -MediaScape (screen sharing, webcam, computer, seats 6 comfortably)Office Hours (seats 2 comfortably)Seating area (whiteboards, seats 8-12 comfortably)SmartBoard (large monitor, webcam, computer, seats 5 comfortably)Staff desk (seats 4 comfortably) (Please note that different location have different amenities – a Change Agent will contact you if we cannot accommodate your specific request) Type of space needed * - Select -Coming Soon! (Please note that different location have different amenities – a Change Agent will contact you if we cannot accommodate your specific request) Name of requestor * E-mail * Phone ASU Affiliation * - Select -StudentFacultyStaffOther Other Is this a registered student organization? Yes No First Choice Reservation Reservation Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20162017201820192020 Reservation Start Time * Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm Reservation End Time * Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm Second Choice Reservation Reservation Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20162017201820192020 Reservation Start Time * Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm Reservation End Time * Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm Number of People * Equipment/AV Requests Special Needs or Accomodation?
