Reserve a Space | SUNY Potsdam

Contact information

First name

Last name

Email address

Phone number

Mailing address

City

State

Zip

Are you reserving space on behalf of an organization?

Yes

If yes, enter legal name of organization

If yes, choose organization type

If other, please explain

Legal Address of the Organization

Street Address

City

State

Zip

Contract Signatory Information

Name of person who will be signing the contract

Address of Signatory (Street, City, State and Zip)

Title of Signatory

Event Information

Event name

Event description

Type of event

Estimated attendance (including workers/volunteers)

Will Children / Youth Under 17 be Participating in the Activity?

Yes

Will the event be open to the public?

Yes

Date & Time

Event date

Start time

End time

Setup time needed

Cleanup time needed

Is this a recurring event?

Yes

Space Requested

Preferred location / building

Room preference (if known)

Indoor or outdoor event

Indoor

Outdoor

Either

Room Setup

Setup needs (check all that apply)

Tables

Chairs

Classroom setup

Theater seating

Banquet setup

Open floor

Other

If other, please describe

Estimated number of tables

Estimated number of chairs

Audio / visual needs (check all that apply)

Projector

Screen

Microphone

Sound System

Video Conferencing

Computer Access

None

Additional technical needs (if needed)

Event Services

Event requirements (check all that apply)

Catering

Parking accommodations

Security presence

Custodial support

None

Revocable Permit

As required by State University of New York (University) policy on the use of University-controlled facilities by non-commercial organizations, a revocable permit is required for each non-commercial organization authorized to use campus facilities. View the Revocable Permit website for additional information and related policies.

Additional Information & Acknowledgement

Please provide any additional pertinent information

Acknowledgements

I understand that this submission is a request only and space availability must be confirmed by SUNY Potsdam.

I agree to follow SUNY Potsdam policies regarding campus facility use.