Resource Room Booking Request

This form is to request a booking for The Harriet Tubman Institute's Resource Room (York Lanes room 314).

The Tubman Resource Room is equipped with the following: Computer, projector, speakers with built-in microphone, wireless lapel microphone (required hybrid events), auto-tracking camera (front-facing), and wireless screen-share connection via AirMedia.

If your event is a more than two days or if food will be served at the event, please upload the cleaning confirmation (request made through Maximo).

Name of Event Contact Name of Event Contact * First Last
Event Contact's Job/Position Title *
York Email Address (enter another email address if you do not have a York email) *
Cellular Phone Number Cellular Phone Number * - ### - ### ####
Name of Signing Officer (supervisor/director/cost centre owner, etc.) Name of Signing Officer (supervisor/director/cost centre owner, etc.) * First Last
Signing Officer York Email Address *
Signing Officer's Job/Position Title *
Cost Centre
Your cost-centre will only be charged the cost for replacing the key if it is lost/not returned; or if cleaning is required. *
Event Details
Event Title *
Event Description *
Maximum of 800 words allowed. Currently Entered: 0 words.
Event Start Date Event Start Date * / MM / DD YYYY
Event End Date Event End Date * / MM / DD YYYY
Event Start Time Event Start Time * : HH MM AM/PM
Event End Time Event End Time * : HH MM AM/PM
Event Frequency - If you're requesting multiple dates/times for an event, please list them here. *
Number of Participants. Maximum capacity of the Resource Room is 30. *
Must be a number less than or equal to 30.
Will food be served at this event? *

Will food be served at this event? Yes No

Please note Tubman is not responsible for catering.
If your event is a more than two days or if food will be served at the event, please upload the cleaning confirmation (request made through Maximo).

Attach Files
List any audio/visual equipment (microphones, etc.) required for your event. The Tubman Resource Room is equipped with the following: Computer, projector, speakers with built-in microphone, wireless microphone, auto-tracking camera (front-facing), and wireless screen-share connection via AirMedia.
Resource Room Rules & Guidelines

• Please note that classes are not permitted in these rooms.
• Ensure that all furniture/room equipment is reset to the original setting (tables
arranged in a rectangle) before you leave the space.
• HTI is not responsible for the set-up or operation of A/V equipment in the room. For
assistance, please email askit@yorku.ca or call ext. 55065.
• Do not remove any furniture, desks, chairs, or books from the rooms.
• Do not damage the walls/tack posters onto the walls. This can cause damage to the
interior.
• Do not leave garbage/food behind in the room (on chairs, tables or floor). If
additional garbage bags are required, please make arrangements with Facilities at
ext. 22401.
• If you no longer need the room, please provide 24 hours' notice of cancellation by
sending an email to tubman@yorku.ca.
• If you do not return the key for the room, your cost-centre will be charged the cost for replacing the key.
• If food is served at the event and there is no cleaning confirmation attached to this form, cleaning service will be charged to your cost centre.
I agree to the Harriet Tubman Institutes' Resource Room Rules and Guidelines. *

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Full Name

I understand this is a legal representation of my signature.

Resource Room Booking Request

Resource Room Booking Request

Event Details

Resource Room Rules & Guidelines