Room Reservations Form

Date of Request*

Space Request*

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Thank you for your interest in the facility use of Rollins School of Public Health. Please complete this form for all spaces that require a rental fee, and return to Fulfillment Services at FulfillmentServicesDepartment@mscloud.emory.net.

Organization and Event Information

Department/Affiliation/Organization*

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RSPH Department/Affiliation*

Chartered RSPH Student Organization*

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File Upload*

** Requirement - Upload approval from the Office of Student Affairs for the named event

Drag and drop files here or

Chartered Non-RSPH Student Organization Name*

RSPH Point of Contact's Full Name*

RSPH Point of Contact's Department*

RSPH Point of Contact's Emory Email Address*

Student Organization Advisor's Full Name*

Student Organization Advisor's Emory Email Address*

Emory Affiliation*

Other [Please specify]*

Contact Full Name*

Emory Email Address*

Describe Event*

Estimated Number of Participants*

Requested Day/Date*

Arrival Time*

Departure Time*

Event Start Time*

Event End Time*

AV Support?*

Yes

Will Food or beverage be served?*

Yes

If yes please provide details

Please note, you must use one of the preferred caterers:*

At this time we recommend you use one of our preferred caterers for your event; Emory Catering, Carole Parks, Carlyles Catering or Nicoles. However we can be flexible based on your event, so please reach out with details to chat through other options. Thanks!

Emory Catering

If other, please list Caterer

Linens?*

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Speedtype/Method of Payment*

*Please note a grant Speedtype cannot be used.

**Please note that if any damage occurs during your event, all charges associated with repairing the damage will be billed to your speedtype. Additionally, future use of RSPH facilities may be denied.

Alcoholic Beverages? (Bartender Required)*

*Please Note: If alcohol is being served a bartender is required. For RSPH faculty, staff, and students please indicate if you will need services from Fulfillment Services.

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