Computer Lab Reservation Form

By filling out and submitting this form, you are stating that you have read and understood lab reservation policies and procedures.

Please complete all parts of the form and click on the submit button at bottom of the page.

If you have questions, please send an e-mail to thma131lab@csuchico.edu.

Desired lab:	THMA 131
Desired date [e.g. 2/16/10]:
Time [e.g. 11am - 1pm]:
Additional dates/times for the same purpose [e.g. 2/17 12-1pm, 2/20 3-4pm]:
(Note: these are additional dates and times, not alternate dates. If you need a reservation for a different course or purpose please submit separate request forms.)
Type of computers that will be used:	Mac PC Both
Your name:
Department abbreviation:
Your email address:
Your phone:
Instructor's name: (leave blank if same as above):
Instructor's phone:
Number of students expected:
Course/Section or purpose of workshop(s):
Software that will be used:
Have you reserved and used this lab before?	Yes No
Will you need to check out media box keys (controls the projector, etc.) from us?	Yes No
Is setup assistance required?	Yes No
If Yes, please describe:
Click the Submit button below to send your reservation request. Reservation will be confirmed by email or phone.