The Learning Center

Learning Center Room Reservation Form

To reserve space for your event in the Learning Center at Medical Center North, please complete the form below; you will receive an email confirmation of your request within two business days. Please review the Learning Center Calendar for availablity prior to submitting your request.

Your Name    Your Email  

 Your Department  Your Phone Number

Secondary Contact Information

Event Information

Event Name

Event Start Date                        Event End Date   

Event Start Time     AM PM     Event End Time   AM  PM

Number of Attendees

Rooms Requested 

 Ballroom (S-2435)
 Care Partner Room/Command Center (S-2433)
 General Training (S-2445)
 General Training (S-2440)
 Conference Room (S-2430)

Room Configuration Requested   View floor plan diagrams

 Lecture- Head table, rows of chairs facing forward theatre style
 Workshop- Head table, rows of tables and chairs facing forward classroom style
 Teamwork- Tables arranged in squars that seat eight per pod
 U-Shape- One continuous table in a U, conference style
 Empty- No tables or chairs

Event Equipment Requested

 Television  DVD Player   LCD Projector  Lectern

 Laptop Computer  Wireless Internet  Microphone (hand held)  Microphone (Lapel) 

 Stanchions (line dividers)  Extension Cord  Whiteboard

 Easel, Poster style  Easel, Flipchart style (paper/markers not provided)




This page was last updated November 13, 2012 and is maintained by