Facilities Repair form

Your Name*

Is this for a future event?

Yes

Event Start Date

Event End Date

Phone Number*

Email*

Please describe your request*

Please be specific in the request description—it allows our team to arrive prepared.

Campus*

Where will the work be performed?

Select

PDX Campus Room/Location*

Select or enter value

Tigard Campus Room/Location*

Select or enter value

Mill Plain Room/Location*

Select or enter value

Eugene Campus Room/Location*

Select or enter value

PBC Room# / Location*

Please type in dorm room # or other PBC location

Describe "Other" room selection

Attach a photo

Drag and drop files here or

Send me a copy of my responses

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