Gallery Events Scheduling Form

Please fill out this form completely, then press the submit button. We prefer that reservations be made at least two weeks in advance.

The completion of this form is only a request for use of the Art Gallery on the IU Kokomo campus. It is not an automatic or completed reservation.

The person responsible for this request is cautioned that no advertising of the event is to be released until the reservation has been confirmed by the Art Gallery.

The requestor is responsible for providing information on the room setup and/or equipment needed. If you require catering services, you must contact AVI Food Services at (765) 455-9322 to discuss your menu. For AV equipment, contact the IU Kokomo Helpdesk at (765) 455-9315. For parking permits, contact Kathleen Mills in Parking at (765) 455-9557.

* Required fields

1. Event Information

*Event Title:

*Sponsor (Department or organizer):

*Frequency: One Time Event Weekly Bi-Weekly Monthly Various Dates 1 2 3 4 5 6 7 8 9 10 11 12

*Event Date(s): [mm/dd/yyyy] 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

*Start Time:   (hh:mm) a.m. p.m.

*End Time:   (hh:mm) a.m. p.m.

*Attendance Expected:

*Equipment Required (you must select one): Screen Stage Podium Flip Chart Table Top Podium  Handheld Microphone Lapel Microphone  Black Sign Stand No Equipment Needed

Additional information including setup requirements or equipment needs:

2. Food Service Information

*Is food service required?  No. Please go to section 3.   Yes.

3. Contact Information

*Contact Person:    The contact person should be the individual making the room request.

*Room Number:

*Phone Number:

*E-mail Address: Please use FULL email address in this field (yourname@domain.com)

Additional Comments:  (if you require additional dates for recurring reservations, please enter that information here)

An e-mail confirmation will be sent to the contact person listed above when the request is processed. If the room is not available, the contact person will be notified by phone or e-mail. Note: This form is only used for scheduling events at the Art Gallery. All other requests should be directed to the Events Coordinator in the Office for Public Affairs and Advancement. If you do not receive a response within 24 hours, please send an e-mail to sskoczen@iuk.edu to make sure your online request was received. Please notify Special Facilities immediately if the requested room will no longer be needed.