CTSI Room Reservation Request Form

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Required format:

5w6fP7JDD9v3Jg75NircvZ66LdL9MqsKbf8yfW2

If you have a research-related event, please use this form to submit a reservation request for the CTSI's Conference Rooms (710A or K) or the Research Training Center (Rooms 710 Q-R). We will respond to all requests within 24 hours. If you do not hear from us within 24 hours, please call the CTSI main line at 305-243-5096. Please note that submitting a request does not guarantee availability. However, we will do our best to accommodate your request.

Thank you!

Miami CTSI

Event Full Title

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Is your event research related?

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Yes

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Research Event Type

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Event Description

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Please provide the research relevance and objectives of the event. This will help ensure alignment with the CTSI's research training center space guidelines.

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Event Date for which you are requesting the room.

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Y-M-D

Select the time slot(s) for the selected day.

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8:00 AM - 9:00 AM

8:30 AM - 9:30 AM

9:00 AM - 10:00 AM

9:30 AM - 10:30 AM

10:00 AM - 11:00 AM

10:30 AM - 11:30 AM

11:00 AM - 12:00 PM

11:30 AM - 12:30 PM

12:00 PM - 1:00 PM

12:30 PM - 1:30 PM

1:00 PM - 2:00 PM

1:30 PM - 2:30 PM

2:00 PM - 3:00 PM

2:30 PM - 3:30 PM

3:00 PM - 4:00 PM

3:30 PM - 4:30 PM

4:00 PM - 5:00 PM

4:30 PM - 5:30 PM

5:00 PM - 6:00 PM

5:30 PM - 6:30 PM

6:00 PM - 7:00 PM

For requesting a room for multiple days, please provide the additional dates and the times for which you need the room here.

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Primary Department/Division/Center

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Expected head count for event

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Preferred Room Configuration

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Research Training Center Q&R - one large room reservation (50-person total capacity)

Research Training Center Q&R - two smaller rooms for simultaneous reservations with wall divider down the center of the room (25-person capacity on each side of the research training center)

Research Training Center Q or R - one small room reservation (25-person capacity)

Conference Room K (14 around table, 6 additional chairs)

Conference Room A (6 around table, 10 additional chairs around the room)

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Will you need Zoom virtual meeting or use audiovisual equipment?
Meeting organizer is responsible for reaching out to CTSI to be trained on AV equipment at least one day prior to event.

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Yes

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Will there be any external attendees other than UM participants?

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Yes

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Will the external attendee be sponsoring a portion of the event?

As a reminder, according to the UHealth Compliance Annual Compliance Program Training(ACPT)/Corporate Integrity Agreement (CIA), please keep the following in mind.

Presentations by or on Behalf of an Industry Entity

UMMG Faculty are prohibited from participating in, or attending, any industry-sponsored event which involves the promotion and marketing of products as the primary focus.
Industry-sponsored instruction in the use of new devices and techniques will require careful consideration and authorization by the Chair and must present evidence of efficacy and alternatives.

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Yes

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Will you be serving food for this event?

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Yes

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Is your event a one-time only event or is it a recurring event?

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One-time event (Use this option for a 1-day event or for ad hoc repeats e.g. 2-day event, 3-day event, etc.)

Recurring weekly event (Use this option for events that repeat on the same day and time every week)

Recurring monthly event (Use this option for events that repeat on the same day and time every month)

Other

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If 'Other', please specify.

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Select number of days for your event

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1 day

2 days

3 days

4 days

5 days

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Event Date

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Y-M-D

Event Start Time (include set up/pre-event time)

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Event End Time (include clean up/post-event time)

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Weekly Event Start Date

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Y-M-D

Weekly Event End Date

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Y-M-D

Weekly Event Start Time (include set up/pre-event time)

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Weekly Event End Time (include clean up/post-event time)

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Monthly Event Start Date

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Y-M-D

Monthly Event End Date

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Y-M-D

Monthly Event Start Time (include set up/pre-event time)

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Monthly Event End Time (include clean up/post-event time)

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Day 1 Event Date

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Y-M-D

Day 1 Event Start Time (include set up/pre-event time)

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Day 1 Event End Time (include clean up/post-event time)

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Day 2 Event Date

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Y-M-D

Day 2 Event Start Time (include set up/pre-event time)

* must provide value

Day 2 Event End Time (include clean up/post-event time)

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Day 3 Event Date

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Y-M-D

Day 3 Event Start Time (include set up/pre-event time)

* must provide value

Day 3 Event End Time (include clean up/post-event time)

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Day 4 Event Date

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Y-M-D

Day 4 Event Start Time (include set up/pre-event time)

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Day 4 Event End Time (include clean up/post-event time)

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Day 5 Event Date

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Y-M-D

Day 5 Event Start Time (include set up/pre-event time)

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Day 5 Event End Time (include clean up/post-event time)

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(Optional) Please upload event flyer, email or other document related to the event.

Upload file

Event Requestor Name

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Event Requestor Phone Number

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Event Requestor Email

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Event Onsite Point of Contact Name

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Event Onsite Point of Contact Cellphone Number

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Please provide a valid non-GR Work Tag number

(A valid work tag/account number must be provided to reserve the room, request Facilities work order and/or should there be any damages to the furniture/equipment within the room.)

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Please review the attached CTSI Research Training Center Usage Guidelines.

Attachment:CTSI Research Training Center Usage Guidelines_October 2024.pdf

Acknowledgments:
Please check the following box confirming your acknowledgement.

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I have reviewed the CTSI Research Training Center Usage Guidelines and agree to uphold the requirements listed within the guidelines. Additionally, I understand that requests are reviewed on a first-come, first-served basis. Submitting a reservation request does not guarantee approval.

Administrative Use Only:

Scheduler:

Scheduled Event Date:

Y-M-D

Scheduled Event Time:

A/V Orientation:

Environmental Services Work Order:

Event Scheduled and Host Notified?

Yes

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Meeting Host Access to CTSI Suite 710:

During Regular Business Hours (9am-6pm):
- Please report to the security officer for elevator access to the 7th floor.
- Upon arrival at Suite 710, ring the bell for entry, unlock the front door and secure it open for guest entry, as it will automatically lock upon closing
Before/After Regular Business Hours (9am-6pm):
- Please report to the security officer to escort you up the 7th floor and unlock the CTSI suite door.
- Upon arrival at Suite 710, security will unlock the front door, be sure to secure it open for guest entry, as it will automatically lock upon closing.

Guest Elevator Access:
Guests are required to notify the security officer, stationed in the lobby near the elevators, of their visit to CTSI for elevator access to the 7th floor.

Event: ______
Event Details: ______
Event Date: ______
Event Time: ______
Guest Count: ______
Room Requested: ______
Catering: ______
Environmental Services Work Order: ______
A/V Equipment Needed: ______
A/V Orientation: ______
Usage Guidelines Acknowledgment: ______
Event Onsite Point of Contact Name & Cell #: ______| ______
Event Requestor Name & Email: [eventcontact] ______
Department: ______
Account: ______

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Contact Details

Administrative Use Only:

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