Qualtrics Survey | Qualtrics Experience Management

Department of Theatre & Dance

Academic Activity Facility Request

Your Name:

Email:

Phone:

Professor/Sponsor

Professor/Sponsor Email:

Course Name & Number

Event Name:

Briefly Describe the Event:

Date(s) Requested:

Alternate Date(s)

Which facilities do you wish to use:

William Inge Memorial Theatre
Elizabeth Sherbon Theatre
Murphy 354
Other

Please specify

Please list all times you wish to use the facility:
Please note that production staff members work until 5 pm on weekdays. Your sponsor must be present or make special arrangements for any events after 5 pm or on weekends.

Preparation dates/times

Rehearsal dates/times

Performance dates/times

I have read and agree to the Conditions of Use.

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Signature:

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