Climenhaga Homestead Facilities Request for campus departments

Departments may complete this form to request use of the Climenhaga Homestead facilities.

Please read our policy on priority use of the facilities.

Date Requested:
Start Time:
End Time:
Set Up Time:
Tear Down Time:
Event:
Number Attending:
Contact:
Campus Department:
Extension:
PO Box:
E-mail:
Rooms Requested:
(Ctrl + click to select
more than one)
Reason For Visit:
Use this area to explain your reason of visiting(REQUIRED).

Contact is responsible for any needs required from Dining Services or Campus Events.