Community Night Reservation Form The community night program will resume beginning on Wednesday, September 1. Please consult the available dates for Fall 2021 before submitting your requests below. Please note that this program will resume meeting in the Faculty/Staff Dining Room located in the Wismer Center. You can request (4) dates and times using the form. If you are requesting more than 4 dates please resubmit the form again. required date field Date 1 Requested* required checkbox field Timeslot 1 Requested*please select one 5:00 - 7:00pm 7:00 - 9:00pm date field Date 2 Requested if more than one date is needed checkbox field Timeslot 2 Requestedplease select one 5:00-7:00pm 7:00-9:00pm date field Date 3 Requested if more than one date is needed checkbox field Timeslot Requested 5:00-7:00pm 7:00-9:00pm date field Date 4 Requested if more than one date is needed checkbox field Timeslot 4 Requestplease select one 5:00-7:00pm 7:00pm-9:00pm required text field Organization Name* required textarea field Organization Address* text field Organization Phone Number text field Organization Website required text field Lead Organizer's Name* required text field Lead Organizer's Cell Phone* (if different than above) required e-mail address field Lead Organizer's Email Address* required textarea field Meeting Purpose / Agenda* Link (required) Last modified on Sep. 14th at 9:41am by Jordan Scharaga.