Microlab Reservation Request Form

Your Name:
Campus Address:
Department:
Phone:
Fax:
Email Address (required):
MSU academic course?	No Yes --- Course ID & Section Number (e.g., ATL 130:003): Section Number is Required (003 in example above)
MSU Account # to bill (for any fees or billings required):

If no MSU account #, name of person (plus address and fax #):
Name:
Address:
City, state, zip:
Phone:
Fax:

If not an academic course:
Short title:
Short description:
Audience:
Will the participants pay to attend?	Yes No
Will instructor and all participants have an active MSUnet IDs? (MSU faculty, staff, and students have MSUnet IDs.)	Yes No
Will laser printing be required?	Yes No

Instructor's Name:
Semester Lab Needed (e.g., FS 99, SS-00, or US-00):
Number of chairs needed:
Number of computers needed:
Select Type(s) of Computers Needed:	IBM PC compatible MAC
(Please check the computer lab schedules for availability if asking for a specific lab)
Lab Location first preference (e.g., 415 CC):
Lab Location second preference (if above lab not available):
Lab Needed when:	All semester Individual Dates

Weekly Classes (please fill in for labs that are needed on a recurring basis)
Class Times:	From	To
Days of the Week:	Mon Tue Wed Thu Fri Sat Sun
Class Times:	From	To
Days of the Week:	Mon Tue Wed Thu Fri Sat Sun

Individual Days (please fill in if only specific dates are needed)
Day/Date:	From (time):	to:
Day/Date:	From (time):	to:
Day/Date:	From (time):	to:
Day/Date:	From (time):	to:
Day/Date:	From (time):	to:
Day/Date:	From (time):	to:
Day/Date:	From (time):	to:

Software needed or to be used (see Information For Instructors):

Special requirements, including known handicapper needs, or other comments:

Note: If you choose not to Submit the form via the web, you can print the Computer Lab Reservation Form and submit it through campus mail to the Computer Labs Scheduling Office, Room 505A Computer Center. Alternatively, contact us by phone at 432-5311 or email us at mlsched@msu.edu and we will email you the form. You should receive an email message from us acknowledging the receipt of your form within one week. If you do not receive such a message, please contact us.

Use of MSU computing facilities is governed by several official policies.
Copyright Michigan State University 2007