We are currently accepting reservation requests through December 31, 2018. Reservation requests for January – July 2019 will be considered beginning October 8, 2018. If you would like to reserve space in the Rotunda, please fill out the information on this form and submit. Contact Information Sponsor: Office/Department/Organization * Contact Name * Email * Office Phone * Cell Phone * Messenger Mail/U.S. Postal Address * Event Information Title of event * Is this event open to the public? * Yes No Preferred Date of the EventAll events must conclude by 10:00PM. Events requiring setup or participant access prior to 9am or after 5pm will incur a fee for security services. First Choice * Month MonthMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year2018 Start Time * Hour Hour123456789101112 : Minute Minute000510152025303540455055 am pm End Time * Hour Hour123456789101112 : Minute Minute000510152025303540455055 am pm Second Choice Month MonthMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year2018 Start Time Hour Hour123456789101112 : Minute Minute000510152025303540455055 am pm End Time Hour Hour123456789101112 : Minute Minute000510152025303540455055 am pm Room or Area to Reserve * Dome RoomDome Room and Upper West OvalNorth OvalLower West OvalMultipurpose RoomMultipurpose Room and West CourtyardOther If Other, Please Specify Event Type Lecture/Meeting Seminar/Symposium Dissertation Defense Breakfast/Lunch Reception Dinner Other If Other Event Type, Please Specifiy Will food be served? * Yes No Virginia Catering Company is the exclusive caterer for the Rotunda. Target Audience UVA Faculty/Staff UVA Students Non-UVA (Public) Equipment Needs Podium/Microphone AV Screen/Monitor Speaker Phone Anticipated Number of Guests Alcohol Use of Alcohol * Yes* No *ALL events where alcohol will be served, whether department or student sponsored requires written approval by the Vice President and Chief Student Affairs Officer or her/his designee consistent with the University’s policy. A signed alcohol approval request form must be submitted to the Rotunda no later than seven days prior to the event. To access the form, please visit http://vpsa.virginia.edu/alcohol. I have read the UVA Policy STU-001: Use of Alcoholic Beverages and Prohibition of Other Drugs * Yes CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.