Room Request Form Main Content Webform First Name Last Name Ohio State name.# email address Please use only an Ohio State name.# email address like firstname.lastname@example.org Phone Host Organization Purpose of the meeting (i.e. student organization meeting, exam) Affiliation - Select -StaffFacultyPost-Doctoral ResearcherResident or FellowGraduate (MS, PhD) StudentPharmD StudentUndergraduate StudentOther Date Start Time End Time Times should include any time necessary to set up and clean up from the event. Number of people attending Accommodations Room Requested - Select -No PreferencePK 103Student Lounge (PK 104)PK 107PK 111PK 157PK 202PK 203PK 250PK 257PK 544PK 551RF 142RF 416RF 516RF 616 Food present at meeting - Select -YesNo + Will need a computer - Select -YesNo + Will need a projector - Select -YesNo +Please note, if you need to reserve a laptop or projector for a room without those installed please send an e-mail to email@example.com Notes: Specific room, reoccurring events, special requests, etc. Are you a human? Enter the characters shown in the image.