Are you an on-campus or off-campus entity?*
Is this for a student organization?*
Department or Student Organization Name
Are you requesting The Gauvin Family Center (Auditorium) in Wieden Hall?*
Sponsored event?*
(This is an on-campus entity putting on an event that includes the public/community. The reduced room fee is $2/pp)
Has this event been approved by an on-campus sponsor?*
NOTE: There is a $2.00 per person fee for sponsored events.
Are UMPI Students participating in this event?*
Who is responsible for any additional costs?*
- UMPI Department
- Off Campus Organization
Which Department?*
(responsible for additional costs)
Your Information / Contact Information / Billing Information
Requestor Name*
Organization Name*
Hidden
Address
Enter your mailing address or campus mailbox. If you’re a student, enter an address where we can send a confirmation.

Street Address City ZIP Code
Mailing Address*
Street Address City ZIP / Postal Code Country
Phone*
Email*
Besides yourself, is there a
- Contact Person
- Billing Organization
Contact Name
Contact Phone
Contact Email
Contact Address
Street Address City ZIP Code
Billing Organization
Billing Name
Billing Phone
Billing Email
Billing Address
Street Address City ZIP Code
Sponsor Name
Sponsor Address
Street Address City State ZIP Code
Event Information
Event Title*
Event Description*
Description of your planned use of the facility. In the case of a performance or presentation, please be specific about the title, groups or individuals being presented. When available, ticket prices should be included since this information will be included in the University calendar.
Event Description
Description of your planned use of the facility
Room Options*
Please check the room that you would like to reserve. Only if date and time are available after approval process will you be guaranteed your room reservation.
Room Options*
Please check the room that you would like to reserve. Only if date and time are available after approval process will you be guaranteed your room reservation.
- See more information about the available facilities.
- View Facilities Fees list
Day(s) and Date(s) of event*
Please include day and date (i.e., Tuesday, January 10, 2017). This form may be used to reserve several days at one time provided that the use is for the same purpose and time each day. CONTINUOUS REQUESTS: Please let us know if you will meet during school breaks.
View the Conferences & Special Programs Room Availability Calendar
Time In*
Time you wish to enter the facility

: Hours

Minutes

AM/PM
Start time of event*

: Hours

Minutes

AM/PM
Time Out*
Time you wish to relinquish use of the requested facility

: Hours

Minutes

AM/PM
Who may attend?
Anticipated Attendance*
The number of people you are expecting to attend or to participate at your event. Please be as accurate as possible.
Special Accommodations / Setup Instructions / Requirements / Publicity
Please check any that apply
- Audio / Visual / Technology Needs
- Food Service
IT Options
- Laptop
- Projector/Screen
- Wifi
- Podium
- Sound (of any kind)
- Microphone
- Wireless Lapel
- Other
Other IT Options
Special Accommodations
If any of your attendees require special accommodation, please describe here.
Special setup for Facilities Management
If you need special setup for Facilities Management, please describe here.
Computer Accounts
After this form is submitted, you will be given a link to a form to request non-academic computer accounts.
Please outline what you would like for for Food Service below, or contact Lydia at 768-9502 / lydia.kieffer@maine.edu
Food Service Details*
List event in On the Fly?*
Would you like to list your event in the On the Fly Newsletter?
Meeting Layout Options*
Round Tables can not be set up in the MMG Center room. The Alumni Room layout is Hollow Rectangle and cannot be changed. *please note, room diagrams are not drawn to scale*
Additional comments we should take note of regarding details for your event
Email
This field is for validation purposes and should be left unchanged.

Your Information / Contact Information / Billing Information

Event Information

Special Accommodations / Setup Instructions / Requirements / Publicity