Page 1
Room Booking Form
About you
Name
Email
Contact Number
Secondary Contact
Email
Contact Number
Status
Imperial College Student
Imperial College Staff Member
Imperial College Alumni
Other
External
Level of Study
Undergraduate
Masters (Taught)
Masters (Research)
PhD
Postdoc
Are you a recipient of the Student Society Fund?
Yes
No
Department
Please write here
Faculty
Faculty of Engineering
Faculty of Medicine
Faculty of Natural Sciences
Imperial College Business School
Other
Please write here
Meeting/Event Title
Date
Please select...
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
Please select...
January
February
March
April
May
June
July
August
September
October
November
December
Year
Please select...
2020
Start Time
Please select...
08:30
09:00
09:30
10:00
10:30
11:00
11:30
12:00
12:30
13:00
13:30
14:00
14:30
15:00
15:30
16:00
16:30
17:00
17:30
18:00
18:30
19:00
19:30
20:00
Finish Time
Please select...
08:30
09:00
09:30
10:00
10:30
11:00
11:30
12:00
12:30
13:00
13:30
14:00
14:30
15:00
15:30
16:00
16:30
17:00
17:30
18:00
18:30
19:00
19:30
20:00
Page 2
About the Space
Select Space
Boardroom (Max 8 people) **Please note that the Boardroom is for business meetings only**
Greenroom (Max 12 people)
Studio Half Space (including the Green Room) (Max 40 people)
Studio Whole Space (Max 65 people)
Layout Styles
Meeting table setup
Theatre
Workshop
Select Layout
Meeting table setup
Theatre style
Workshop style
Other
If other please specify
Page 3
About the Attendees
Number of Attendees?
Any attendees under the age of 18?
Yes
No
Any attendees under the age of 18 must be under the care of a responsible adult. Please state the adults details below.
Any special requirements?(For example any attendees who are disabled, car parking request)
Yes
No
Please describe (All car parking requests require at least one weeks notice prior to event)
Internal
External
Please read the
Imperial Code of Conduct
to ensure that you and your speaker follows the University guidelines.
Please confirm that you have read the Imperial Code of Conduct
Yes
No
About the Equipment
Equipment Required?
No
Computer & screen
Screen
Laptop
Clicker
HDMI cable
Anything else?
If anything else please specify here.
Is Catering required? (Please note that we only provide catering for our own events)
Yes
No
Is a separate catering table required?
Yes
No
Would you like to arrange a date to view the space?
Yes
No
Please confirm that you're happy to capture attendance data & share this with the Imperial Enterprise Lab team or whether you'd like us to register guests?
Yes
No (Register Guests)
Contact Information