The Great Room Event Information Sheet

This form provides our staff with information for all events in the Great Room.

Event Name:
Sponsoring Department or Student Organization
Chartstring Number:

Rental Fee for Great Room events:

$12/hr for Student Organizations

$15/hr for Departments

$20/hr for Sponsored Events

This fee applies for the duration of any event, including setup and cleanup time.
Organizer Name: Organizer Name: First Last
Organizer Email:
Organizer Phone Organizer Phone - ### - ### ####
Date of Event Date of Event / MM / DD YYYY
Organizer Arrival Time: Organizer Arrival Time: : HH MM AM/PM

Note: We begin to charge for use of the space 30 minutes prior to the event, unless the organizer/catering needs to arrive earlier (we would start charging at the arrival time in that case).
Event Start Time: Event Start Time: : HH MM AM/PM
Event End Time: Event End Time: : HH MM AM/PM

NOTE: We do charge for 30 minutes of cleanup time post-event.
Are you planning to use the Great Room for more than one date?

Are you planning to use the Great Room for more than one date? Yes. This is a multiple date reservation. No. We just need the space for one day.
Please list the additional dates and times you will be using the space:
Number of Attendees:

The Great Room has a max capacity of 68 people.
Please Read the Great Room Reservation Policies

Please Read the Great Room Reservation Policies I have read & agree to follow The Great Room Reservation Policies
I understand that the Great Room is not wheelchair accessible.

I understand that the Great Room is not wheelchair accessible. Yes.
Briefly Describe the Event and How You Would Like the Room Setup (Lecture, Rounds, Reception, etc):
The Great Room Equipment Needs

Please Indicate what equipment you will be needing for your event
Number of 6' Rectangular Tables
Number of 8' Rectangular Tables
Number of 66" Round Tables (8 Available)
Number of Chairs (68 Available)
Please Check Any Other Equipment You Will Need:

Please Check Any Other Equipment You Will Need: Microphone (One wired Mic Available) Projector & Screen Connection for Music Player (ipod/iphone/etc) Other Other
Catering Information

NOTE: All food and drink served in the Great Room MUST come from Northwestern Catering. To place your orders, contact Northwestern Catering at 847-467-6114
Will you be having any catering at the event?

Will you be having any catering at the event? Yes No

NOTE: All food and drink served in the Great Room MUST come from Northwestern Catering. To place your orders, contact Northwestern Catering at 847-467-6114
Briefly Describe What Is To Be Served:

Buffet, Drinks, etc
Will Alcohol Be Served:

Will Alcohol Be Served: Yes No
Additional Equipment Rental

Tables, Chairs, etc
Will you be renting any additional tables and chairs? This includes renting cocktail or bistro tables

Will you be renting any additional tables and chairs? This includes renting cocktail or bistro tables Yes No
Name of Rental Company
Rental Company Phone Number Rental Company Phone Number - ### - ### ####
Rental Equipment Arrival Date Rental Equipment Arrival Date / MM / DD YYYY
Rental Equipment Arrival Time Rental Equipment Arrival Time : HH MM AM/PM
Rental Equipment Return Date Rental Equipment Return Date / MM / DD YYYY
Rental Equipment Return Time Rental Equipment Return Time : HH MM AM/PM
Briefly Describe the Rental Equipment You are Bringing In (how much, what is it, etc)

The Great Room Event Information Sheet

The Great Room Event Information Sheet

The Great Room Equipment Needs

Catering Information

Additional Equipment Rental