Green Room Reservation Request

Event Name

Event Description

Please describe how the room will be used and why you believe this to be an appropriate space.

Department

The Green Room is only available to Michigan State University faculty and staff.

Form Submitted By

Name

Title

Telephone Number

Email Address

Email Address must be MSU related (e.g. netid@msu.edu).

Onsite Contact

The onsite contact will be the individual at the event who will interact with Library staff.

Same as Event Organizer

Name

Title

Telephone Number

Email Address

Email Address must be MSU related (e.g. netid@msu.edu).

Billing Information

Department Account

Sub-Account

(optional)

Project Code

(optional)

Requested Dates

First Choice

Second Choice

Third Choice

For recurring events, please list additional dates here:

Other Date(s) Possibilities

Time of Use

Please enter the time frame that the room is needed. If it is a multi day event and needed for different times on different days, please indicate your schedule in the comments.

Setup Start Time

Event Start Time

Event End Time

Teardown End Time

Intended Audience

Estimated Attendance

Event Agenda

Number of Presenters

Audiovisual Technology

Desired Level

Level 1 (included in room rental fee)

Level 2 (+$100)

Level 3 (+$200)

A/V Support	Level 1	Level 2	Level 3
PC with wireless internet access	✓Included	✓Included	✓Included
(2) LCD projectors and (2) screens	✓Included	✓Included	✓Included
Lectern with (1) wired microphone	✓Included	✓Included	✓Included
Assistance with A/V setup upon arrival	Not available at this level	✓Included	✓Included
Up to (8) wireless microphones for presenters and/or audience	Not available at this level	✓Included	✓Included
Power strips throughout the room	Not available at this level	✓Included	✓Included
Video recording and/or streaming	Not available at this level	Not available at this level	✓Included
A/V technician onsite throughout the event	Not available at this level	Not available at this level	✓Included

Will you be showing any videos or film?

Will you be utilizing video or audio conferencing?

Room Setup

Please choose one:

Room lecture setup — Floor Plan B – Theater Style without Boardroom Table (Seats 140)

Room banquet setup — Floor Plan C – Rounds (Seats 72)

Additional Items

Registration Table

Display Table(s)

Presenter Table(s)

Display Tripod Easel(s)

White Board

Food and Beverage

Will Food and/or beverage be served at the event?

Will your group or a caterer need access to the kitchen for storage, setup, and/or cleanup?

Additional Comments or Questions

I have read and agree to the Green Room Policies

I have read and agree to the Green Room Reservation Policies

Please direct your questions to Andrew Lathrop | (517) 884-6464

You will receive a response to your request within 3 business days.