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 buckeye.1@osu.edu Phone Host Organization Purpose of the meeting (i.e. student organization meeting, exam) Affiliation - Select -StaffFacultyNon-College of Pharmacy affiliated faculty/staffPost-Doctoral ResearcherResident or FellowGraduate (MS, PhD) StudentPharmD StudentBSPS studentNon-College of Pharmacy affiliated studentsOther Do you plan to use the space outside normal operating hours: Monday through Friday, 7:00 a.m. -7:00 p. m.? - Select -YesNo Please note: persons or groups not affiliated with the College of Pharmacy may only request to use College spaces during normal operating hours, Monday through Friday, 7:00 a.m. -7:00 p. m. I understand 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 103PK 107PK 111PK 157PK 200PK 250PK 257PK 544RF 112RF 118RF 118/112RF 142RF 416RF 516RF 616 Please note, the college registrar does not schedule Riffe Building rooms 416, 516, or 616. Your request email will be forwarded to the division coordinator who schedules those rooms. Food present at meeting (Please note that outside of standard building hours, food is only allowed in the Student Lounge) - 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 problem@pharmacy.ohio-state.edu Are you requesting or inviting media attendance/participation (either broadcast or journalists) at this event? - Select -YesNo The student org will need to contact the COP Communications & Marketing team for next steps. Notes: Specific room, reoccurring events, special requests, etc. Are you a human? 11 + 1 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Guidelines when using Parks Hall spaces outside of standard building hours: No exterior doors to Parks will be propped open. Entry will not be granted to anyone who is not part of the event/meeting. Furniture in the reserved space will be returned to its original position and never removed if moved. All attendees must be at least 18 years old. ood is only allowed in the Student Lounge (PK 104) Possession or consumption of alcohol is prohibited. Requesting group will be held responsible for property or facility damage. Requesting group is responsible for cleaning any trash, waste, or recycling. The requesting group will be responsible for the after-hours housekeeping fee of $22.00 an hour for a minimum of 4 hours if the room is not cleaned up at the end of the event. I agree to abide by the student after-hours guidelines stated above