Degree Candidates: Do not use this form before you have confirmed the date and time with all of your committee members.
Day: select Monday Tuesday Wednesday Thursday Friday Saturday Sunday Date of Event (mm/dd/yy): Starting Time: (include setup time) Ending Time: (include break-down time) Your Name (requestor): Your Phone: Your Email: Name of Event: CRN, if course related: Expected Number Attending: Space Requested (specific room if known): COE Contact (sponsor/committee-chair/advisor, etc.):
Will technology be needed? No Yes If so, please contact Michelle Rivera in the IRC (irc@georgiasouthern.edu or 478-5528.) When you contact Ms. Rivera, be specific in describing your needs. Will you need any of the following: computer and LCD, sound, or other items?
Any other specifics, not listed above but which are needed, must be requested here (i.e. conference phone, etc.):