Harvard School of Public Health

MicroLab Classroom Reservation

Please read the room reservation policies and fill out ALL ITEMS on this form to ensure that your reservation can be completed.

MicroLab Reservation Policies

Full Name:
Email Address:
Telephone:  )   -
Dates and Times Needed:
Click here to add more Dates and Times
 Date:  From:  to
Is this a lab associated with an official HSPH course listed by the registrar's office? If not, there will be a $250 room fee. Yes   No
Event or course information:  
Course Number: (ex. ID251)
Course Name:
Course Instructor Name and Contact:
(Phone Number or Email)
Class Size:
Preferred room (if any):
Event Description:
Number of guest accounts needed ($25 each):
Software to be Used:


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