MTEC Session Request Form

Please fill out this form completely. All sessions must conform to the rules outlined in the MTEC Studio Scheduling Policy. Email the Facilities Technician, Sam Stauff, at sstauff@mercy.edu if you have any questions.

Your Name:             Your Student ID#:    
Email:                 Phone Number:

Requested Studio:   A    B    D      Requested Date:      
Requested Start Time:            Requested End Time

Describe your project and why you need the studio time:

Are you enrolled in Studio Workshop I or II?
   Workshop I        Workshop II        (not enrolled in either course)

Have you completed Studio Workshop I or Studio Workshop II?
   Workshop I        Workshop II        (neither course completed)

Additional students or guests who will be attending:

Guest 1
  Name:                Email address:       
  Telephone:           Mercy student?        yes     no
  ID number:   (student ID or other ID)

Guest 2
  Name:                Email address:       
  Telephone:           Mercy student?        yes     no
  ID number:   (student or other)

Guest 3
  Name:                Email address:       
  Telephone:           Mercy student?        yes     no
  ID number:   (student or other)

Guest 4
  Name:                Email address:       
  Telephone:           Mercy student?        yes     no
  ID number:   (student or other)

Guest 5
  Name:                Email address:       
  Telephone:           Mercy student?        yes     no
  ID number:   (student or other)

Problems, Comments or Suggestions?

Last revised 2008/07/21.