Reserve a room

Return to: Learning Commons : AHC Office of Education : U of M Home

About Us

Directions & Map

Services for Faculty

Project Showcase

Scheduling & Use Guidelines

Room Request Form

Helpful Resources

Contact

AHC Learning Commons
535/545 Diehl Hall

612-626-3882 (Phone)
612-626-3880 (Fax)
learncom@umn.edu

Hours : 8:00 a.m. - 4:30 p.m.

AHC Learning Commons Home

Home > Scheduling & Use Guidelines

AHC Learning Commons Room Request Form

Please complete a Room Request Form for each event date and time (e.g., faculty development seminar, training class, or small group session). Submit one form if the same event recurs multiple times in the course of the same semester. If you have questions about this form, please call 612-626-3882.

General Information

Activity Title:
Faculty Name:
Department:
Email:
Phone:
School/College/Program:
Type of Program:	Student Faculty

Contact Info

Contact Name:
Phone:
email:
Campus Address:

Anticipated Use

Requested Date:
Start Time*:		* Please include set up time as necessary;
End Time**:		** Please include clean-up time as necessary;
Number of Participants:
Large Classroom #535?	Yes No
Large Classroom #545?	Yes No
Is this a recurring event?	Yes No
If yes, please list the dates:

Type of Participants:

Please indicate the participants for each event listed above:

	Faculty members
	Current AHC Students
	Residents
	Continuing Education
	Current U of M, non-AHC students
	Non U of M Faculty
Other (please specify) :

Type of Facilities Use:

Click all that apply:

	Faculty development
	Bio-Medical library seminar
	Student class
	Small group work
	Conference
	Interprofessional faculty or dean's meeting

Type of Technology required:
Check all that apply:

	Digital Projector
	Facilitator laptop
	Videoconference polycom and monitor
	Videoconferencing support during scheduled use
	Participant laptops with wireless access # required:

	Individual computers (at pods or carrols). # required:
	Scanner
	Laser Printer
	CD duplicator
	Breeze Presentation
	Breeze Live
	Breeze/Breeze Live support during use
	Special Instructions:

The AHC Learning Commons is a workplace as well as an Learning Resource. Workplace sounds such as people walking, ringing telephones, printers/copiers in use, and quiet conversations may be in surrounding areas. Please refrain from making reservations for groups that cannot tolerate this environment.

We ask that absolutely no food be brought into the AHC Learning Commons. Users may bring drinks as long as they are in closed containers. The Learning Commons is used by multiple groups, so your cooperation will help us maintain a clean and attractive learning space and ensure that all technology and equipment continue to function effectively.

©2003 Regents of the University of Minnesota. All rights reserved.	Trouble seeing the text? \| Contact U of M \| Privacy
The University of Minnesota is an equal opportunity educator and employer.	Last modified on Wednesday October 03, 2007