Please use Google Chrome or Mozilla Firefox to submit this request form. Name/Title of Your Event Name of Event Organizer Organization Contact Phone Number Email Address Please indicate your affiliation(s) with Georgia Tech Student Faculty GT Employee GTRI Employee Other Department or Lab - None -ACCT - AccountingACLASLHATASCIPHERCOMM - CommunicationsCOREDDO - Director's OfficeELSYSEOSLESD - Enterprise SystemsICLISD - Information Systems DepartmentMSD - Machine ShopPMSO - Project Management Support OfficeRSD - Research SecuritySCDSEALSPS - Sponsored Projects SupportSSD - Support ServicesTMD - Talent Management Department Describe your relationship with Georgia Tech Research Area the Event Supports Is your event affiliated with any of the following A Georgia College or University Georgia K-12 school or school system A Government Agency None of the above Government Agency or Department Describe the purpose of your event Event Start Date/Time Event Start Date/Time: Date Event Start Date/Time: Time Event End Date/Time Event End Date/Time: Date Event End Date/Time: Time Setup Date and Start Time Setup Date and Start Time: Date Setup Date and Start Time: Time Setup Date and End Time Setup Date and End Time: Date Setup Date and End Time: Time Are your dates flexible? Yes No Is this a Classified Meeting? Yes No Room Choices Auditorium Pre-Function Area 119A 119B 119C Anticipated Number of Attendees Will you be charging for admission to the event Yes No Fee per person $ Do you expect any high-profile dignitaries to attend your event? Yes No Dignitary Name(s) Before submitting, please review our Policies and Procedures and be aware of the new Parking Policies and Procedures. I certify that I have reviewed the policies mentioned above. Leave this field blank