Facility Request & Event Programming Form - Spring 2019

Contact Information

Please complete the following form for all Western Illinois University Residence Hall facility requests. This includes requests for facility usage for meetings, programs, large events, etc. This form is not to be used for table setup requests or any other solicitation requests. For more information on our solicitation policy, click here.

*You will be asked to provide additional information regarding setup for your event
*Requests can take 3-5 business days
*Student organizations can reserve residence hall facilities for a maximum of 3 hours/week

Contact Information - First Name
Contact Information - Middle Initial
Contact Information - Last Name
Contact Information - Email Address
Contact Information - Phone Number
Contact Information - Address
Contact Information - City
Contact Information - State
Contact Information - Zip Code
Sponsoring Organization
Type of Organization
Account Number
Advisor's Name
Advisor's Phone Number
Advisor's Email Address