Room Request Form

Thank you for your interest in holding your external event at UCLA. Please fill out the form below so we can better serve you. If you have any specific questions, please contact us at events@events.ucla.edu.

Please Note: If you have an event date range, or if your event date is still open ended/optional, please enter your first choice into the date field and your other event dates in the Event Description field.

About Your Event

Event Name

Number of Attendees

Event Description

Event Date

Event Start Time

Event End Time

Refreshments

- Select -
None
Beverages only
beverages and non-perishable food
beverages and heavy appetizers or meal

Event Needs

A/V Equipment

Room Configuration

Will you be recording this event?

Yes

Personal Information

First name

Last name

Email Address

Phone Number

Organization Information

Organization Name

Organization Type

- Select -
Non-profit
Commercial for profit business
Private individual for commercial use
Private individual for non-commercial use other|Other
Other…

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