The Center for Community PartnershipsConference Room Request

The Center for Community Partnerships

Conference Room Request

Your Name

Date Request was Made

Affiliation

I work at the Center for Community Partnerships

I don't work at the Center for Community Partnerships, but I work at UVA

I represent a community partner of the Center for Community Partnerships

I work at a community organization that has not previously partnered with the Center for Community Partnerships

Your Email Address

Organization/Business Name/Department/School

Please specify the entity you represent for this booking.

Your Phone Number

Phone

Mission Information*

What is the mission of your organization/department and how does it intersect with the mission of the Center for Community Partnerships?

Meeting/Event Name*

This will be the title on our booking calendar.

Description of event*

Please include a quick overview regarding the purpose of the meeting. Also include any specific space needs (e.g. lunch will be provided that requires a table, breakout groups will require seating in additional rooms, need for zoom meeting to be recorded, etc.)

Number of In-Person Attendees

Date of Event

Time of Event

Please include start and end time.

History of Booking with Us

This is the first time we have booked a space at the Center for Community Partnerships' downtown mall location

We have booked a space at the Center for Community Partnerships' downtown mall location before

Is the date and time flexible?

Yes

Time front door should be opened

For security purposes, the front door of the Center for Community Partnerships office stays locked except for the window of time before a meeting is scheduled to begin. Please indicate in this field what time you would like the front door unlocked and for how long.

Please also include any additional times you need the door unlocked (e.g. caterers arriving, consultants or attendees coming at a time different from the start of the meeting, etc.)

What AV do you need?

If there is a special AV request or question, please leave in the comments section at the bottom of the form.

Video Conferencing

TV Displays/Screensharing

Which space would you like to use?

Vinegar Hill: 3rd Floor, Capacity of 25-30 people, AV + Zoom room (zoom cameras built into TV's, wireless screensharing capacibility)

Gospel Hill: 3rd Floor, Capacity of 10-12 people, AV Included with HDMI connection; Can zoom from your laptop, but can't broadcast the room

Starr Hill: 2nd Floor, Capacity of 10-12 people, AV Included with HDMI connection; Can zoom from your laptop, but can't broadcast the room

Terms of Agreement

Terms of Agreement: If approved for space use, I agree to the terms and agreement as outlined in the Center for Community Partnerships Space Use Document, and will be responsible for all the requirements.

Equity Center Space instructions: click here.

Please type name of responsible party below.

Comments/Questions/Notes

Please include the names of any special guests or dignitaries who may be in attendance at your event, if applicable.

Send me a copy of my responses

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