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Request form

Penn State Greater Allegheny has a variety of facilities that can be used for your event. Visit our campus buildings section for specific building information.

Complete the form below and click the submit button at the bottom. You will then see a copy of what was submitted--be sure to print or save this information.

Your Name:
Department or Organization:
Email:
Title of event
Description and Purpose of the Event:
Date of the Event: mm/dd/yy
Day of Event
Access Needed By: mm/dd/yy
Start Time:

End Time:
AM PM

AM PM

Estimated Attendance:


Open to the Public: Yes No
Food Required? Yes No
AV Equipment ? Yes No

If AV equipment needed, please describe:


Please select the room you want to rent.
(Select more than one by pressing the CTRL key while clicking)

Specify other:

 
Room set-up required

 

Do you want a Penn State representative to contact you? Yes No

Additional Comments:
Facility Request Form