Event Request NOTE: Room requests must be submitted at least 15 days prior to the first day of your event. Event Information First Name (Required) Please enter your first name. Last Name (Required) Please enter your last name. Email (Required) Please enter your email address. Confirm Email (Required) Please Confirm your email address. Office Phone Cell Phone (Required) Please provide a phone number where you can be contacted. Event Information Event Title (Required) For clarity, please avoid using acronyms in your event title. Is this a Madison College Event? Yes No Organization Info Organization Name What is the name of your organization? Address (Required) Alternate Address Please provide an alternate address if desired. City (Required) Please provide the City. State (Required) Please provide the State. Zip Code (Required) Please provide zip code. Website (Optional) Department Info Department Name Class Number (Optional) Organization or Club Name Advisor (optional) Is this a repeating event? Yes No Repeating Event Info Daily Weekly Every Other Week Monthly Campus Location Requested - None -TruaxDTECWestSouthCommercial Ave.Fort AtkinsonPortageReedsburgWatertown Please selection the campus in which the event will be taking place. Daily InformationEvent Start Date (Required) Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20162017201820192020 End Date (Required) Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20162017201820192020 Please reserve enough time to properly prepare the room for your event. Prep Start Time Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm Event Start Time Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm How long is your event Hour Hour01234567891011121314151617181920212223 : Minute Minute000510152025303540455055 Preferred Room Number (optional) Room preferences are given based on availability. Preferred Room Size (optional) Less than 15 people 16 - 30 People 31 - 50 People 51 - 100 People 101+ People Estimated Attendance Number Room Preference (optional) Classroom Smart Classroom Computer Lab Meeting Room Information Table ONLY Dining Room Gym Theater Specialty Technology Equipment Required (optional) Lectern Computer Screen LCD Projector Conference Phone Sound System Smart Tech Other Technology Equipment Required (optional) Other Set Up Preference (optional) As Is Cafe Style (Chairs surrounding individual tables) Classroom (Tables with chairs facing front) Conference Table (Chairs around large table(s)) Theater Style (Chairs only facing front) Special Instructions Set Up Preference (optional) Special Instructions Please Note: Due to the class schedules, we may not be able to reconfigure classrooms. Other Needs: Other needs: Catering Guest Parking Network Access Event Planning Assistance Registration Assistance Box Office Additional Information or requirements for us to better serve your event? Leave this field blank