UUSS Room Use Request Form

Please use this form to request a room for a UUSS event or committee meeting. If you prefer to submit your request in writing, click here to download a printable version of the form.

NOTE: If you are looking for a room or facilities to rent for a private event or meeting, please use the UUSS Facilities Rental Request Form.

Request for Room Use[ Click here to View, Change or Cancel a Request ]

Please complete all sections of this form and review the UUSS Covenant of Responsible Stewardship regarding the use of UUSS rooms. If you have any questions, please contact the Office or call (916) 483-9283.

Event/Contact Information
Committee or Group:Contact Name:
Title of Event:Email:
Size of Group:Phone: (optional):
Date(s) For
Day and Date of Event:
Time of Event
Event Time: to
Setup Time Needed:
Room Request (check the room(s) you want to reserve*)
Any Available Fahs Lounge/Foyer Room 6 Room 10
Auditorium Main Kitchen Off Site Room 7/8 Room 11 (childcare only)
Coffee Kitchen Library Patio Room 9 Room 12

Other:

Setup Details

Rooms will be set up by participants, unless this is a Special Event. If this is a Special Event, what are the set-up details for this event?

Classroom Board Room Chairs in Circle Theater

Other:

If you are requesting a special room arrangement, please send or email a diagram to the UUSS office.

Supplies (indicate quantity)
Chairs
Card Tables
Long Tables
Round Tables
TV/DVD Player
Slide Projector
Video Projector
Screen
Sound Equipment
Piano
Flip Charts
Easels

Other:

Additional Requirements
Signature

*Room use is assigned by the office, according to the size of the group and type of event. It is possible you will not get your first choice of room.

You will be responsible for setting up and putting away tables and chairs, unless such setup is physically too strenuous. Furniture in rooms reserved for use on Sunday afternoon will remain as originally set up for the RE just prior to your meeting. Room 11 is assigned for childcare ONLY.

At the end of your meeting, you are responsible to ensure all doors and windows are closed and locked, all lights are off, that the AC/Heat thermostat is set appropriately, and that the rooms are neat and orderly.

I am unable to setup my room for my meeting and request it be done prior to this meeting.
I understand my responsibilities regarding reserving rooms at UUSS.

Please enter your:

Sign-In ID:

Password:

Do you understand your responsiblities regarding reserving rooms at UUSS?