Forms Cancel Space Reservations Contact Information Your Name * Campus Phone * (xxx)-xxx-xxxx Email * Event Information Name of Program or Meeting * Sponsor Organization * Event Contact Person * Contact Phone * (xxx)-xxx-xxxx Contact Address * Date of Event * Event Type Meeting Conference Presentation Other Start Time * 121234567891011 : 0030 AMPM End Time 121234567891011 : 0030 AMPM Reason for Cancellatlion * Comments * Important This request is not considered valid until you have received a written confirmation via email from a representative of the Center for Black Culture. Statement of Responsibility: I certify that I am an authorized representative of the sponsoring organization/department and have familiarized myself with the University policies regarding this program. My organization will be responsible for adhereing to these policies and for any damage to the facility and its contents. This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. I agree to the above terms - Submit Form Δ
