We are currently accepting reservation requests through December 31, 2019. Reservation requests for January– July 2020 will be considered beginning at 9:00 a.m. on October 7, 2019. 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 MonthAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year2019 Start Time * Hour Hour123456789101112 : Minute Minute000510152025303540455055 am pm End Time * Hour Hour123456789101112 : Minute Minute000510152025303540455055 am pm Second Choice Month MonthAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year2019 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.