Conference Room Reservation Form - School of Medicine - Department of Medicine

Reminder: All current physical distancing recommendations apply.

Please fill out the form below to reserve a conference room. You will receive an email confirmation shortly after submission. For any questions or concerns, contact:

LaVerne Croom
Email: lcroom@uabmc.edu

Full Name(*)

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Email(*)

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Requested Date

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Requested Start Time

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I am interested in reserving conference room(*)

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Who will be responsible for cleaning this space before and after use?(*)

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What is the reason for this meeting or gathering?(*)

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How many attendees?(*)

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Will there be a need for A/V for this meeting?

YesNo Invalid Input

Will there be food served?

YesNo Invalid Input

(*)

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Requested End Time

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