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ACCESS TO MACNIDER BUILDING AFTER HOURS REQUEST FORM by HC12061607512

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									                     ACCESS TO MACNIDER BUILDING AFTER HOURS REQUEST FORM
                    (Request must be submitted in writing at least 48 hours prior to event)


Room Reserved: ______________________________________

Date and Time you are requesting outside normal operating hours

_____________           ____________________________________________
(date)                  (time) {please include beginning and ending time}

Purpose for using the room___________________________________________________

Anticipated Number of People Attending: ________________________________________

Contact Information (Person/Organization Requesting Use)

Name: ___________________________________E-mail address ______________________________________

Department: ___________________________________________CB# __________________________________

Phone # _________________________________Fax # ______________________________________________

                                  DOORS REQUESTED TO BE UNLOCKED
Entrance from Health Sciences Library
Entrance from MacNider Loading Dock
Special Request:


                                                                                  Signature

                                                                             Title
The Card Access System for Macnider Building operates as follows:
 Unlocked during normal operating hours: Monday through Friday 6:00 a.m. to 6:00 p.m.
 Locked after normal operating hours: Monday through Friday 6:00 p.m. to 6:00 a.m.
 Locked at all hours: Saturday and Sunday

Requests for access into MacNider Building outside of normal operating hours need to be submitted in writing at
least 48 hours prior to the date of the event. This request addresses ONLY the exterior doors and does not
involve reserving individual rooms or locking / unlocking any interior doors. The reservation of the Conference
Room 133 and 238 will continue in the established manner. You are responsible for obtaining a key to get into the
appropriate room either the later afternoon before an early morning event or late in the afternoon on the same day
of a late afternoon/evening event,

Please indicate the date, time of use, conference room number and make a recommendation as to which specific
doors you would wish to have unlocked. The request should be signed (authorized) by the appropriate department
head or their representative.

                   Please return this form to the following contact person when completed

                                    MEDICAL SCHOOL PLANNING OFFICE
                                      425 MACNIDER HALL CB# 9510
                                             PHONE 966-2441
                                              FAX 966-2444


ORIGINAL SIGNED FORM MUST BE RECEIVED IN PLANNING

								
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