Room Reservation Room(s) Reservation Form In the event of potential inclement weather at the Fredericksburg, Stafford and Dahlgren campuses of UMW, please monitor the university website for announcements. Information about closings or delays also can be accessed through the Information Hotline (540) 654-2424 or by tuning into one of the regional radio and television stations . The information above will be emailed with your confirmation letter once the event is scheduled.* I acknowledge that I have read and understand the inclement weather procedure above. EventEvent NameDescriptionMake a selectionReceptionMeetingWorkshop/SeminarOtherIf other, please explain. Date(s)*Set-Up Time* : Hours Minutes AM PM AM/PM Event Start Time* : Hours Minutes AM PM AM/PM Event End Time* : Hours Minutes AM PM AM/PM Expected Number of AttendeesNSWC EmployeesAre you a NSWC employee?* Yes No All NSWCDD employees scheduling meetings at UMW-Dahlgren with Foreign Nationals in attendance must complete the NSWCDD Foreign National Visitor Process. Please contact Command Security NSWCDD at 540-653-8502 for assistance or questions.This field applies to the NSWC contract events. Reference Number (provided by Joe Weeks, CXPT)ContactsType of Organization*Make a selectionFederal GovernmentState GovernmentMilitaryPrivate SectorPublic Sector/Non-ProfitOtherIf other, please explain.Organization and Department*Event Contact's Name* First Last Phone*Email* Enter Email Confirm Email Billing InformationBilling Contact's Name First Last Employer Identification Number (EIN is required for billed events)Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail Enter Email Confirm Email Desired Room(s)All rooms are equipped with instructor computers, projection screens/monitors, whiteboards and wired and wireless Internet access. You are able to configure the room set-up for your event, but rooms are to be returned to classroom style at the end of your event. Please select your desired room(s)* 10 seat conference room 12 seat classroom 24 seat classroom 32 seat classroom 15 seat computer lab with Dual Monitors 30 seat computer lab with laptops University Hall (multi-purpose room/auditorium) University Hall Room Usage Selection (this includes set-up time) Entire Room – Full day (8+ hours) Entire Room – Half day (4 hours) Half of the Room – Full day (8+ hours) Half of the Room – Half day (4 hours) We have a variety of styles to choose from for the set-up in University Hall (auditorium) only. If you are requesting "other", please describe your set-up in description.Make a selectionTheater-Style (up to 220 seats – chairs only)Banquet-Style (tables and chairs up to 130)Classroom/Lecture (up to 94 seats)Hollow (tables and chairs up to 42)U Shape (tables and chairs up to 30)ConferenceOtherIf "other" room set-up was selected (applicable to University Hall only) and/or you have additional requirements, please provide details. Note: classrooms can be reconfigured by the client; however, we ask that the room be returned classroom-style.Software InstallationAll software installation request must be pre-approved through our IT department. Installation of software will only be provided if a license for each computer is received. Software with certificates must be received 2 weeks prior to the event. This will ensure the proper amount of time for installation. Please list the software name below with a point of contact name and phone number. Do you require software installation for your event?* Yes No Software Name*Contact Name* First Last Phone*Email* Enter Email Confirm Email Technology RequirementsPlease select device being used for your presentation Laptop Macbook IPad Tablet Other If other, please specify device.If you have additional AV/technology needs, please check the respective boxes. Technology assistance Conference phone Zoom Other Name* First Last Phone*Email* Enter Email Confirm Email If other, please specify your requirements.Video TeleconferencingVideo teleconferencing (VTC) allows two or more locations to communicate by simultaneous two-way video and audio transmissions. If VTC is required for your event, please provide the information below. Do you require video teleconferencing( VTC) for your event?* Yes No Contact Name* First Last Phone*IP/ISDN address*Catering Will this be a catered event? Yes No Unsure The Renter may spend up to $1,000.00 with the provider of its choice for prepared foods and/or catering services for event participants. The Renter shall be fully liable for any food purchases and/or catering and will be responsible for meeting any pertinent health requirements. If the Renter desires to purchase food in excess of $1,000.00, the Renter must do so through the University’s Dining Services Contractor. Any other purchases of prepared foods and/or catering services in excess of $1,000.00 will be permitted only in the event that the University Dining Contractor indicates, in writing, that it is unable to meet the Renter’s food service and/or catering requirements. In such cases, a licensed and insured catering service may be selected by the Renter. Any catering service hired by the Renter must provide the University with copies of all pertinent licenses and certificate of insurance. Please contact Sodexo at 540-654-1930. Additional AssistanceIf you have questions, need assistance, or require special accommodations, please specify here.Is your event open to the public? Yes No Δ