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Shapiro Campus Center Request Form
Please fully complete this form. It will be submitted to the Department of Student Engagement.
Please expect to hear a response from us in
2-3 business days
. Requests are not processed over the weekends.
Student Organizations accredited by the Student Union can reserve space in the SCC using this form. All University Departments must contact University Events for space reservations in the SCC.
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Contact Information
Sponsoring Organization
Must be a University Department or a Union accredidated organization
Contact First Name
Contact Last Name
Contact
Brandeis
Email Address
Contact Phone Number
What is your affiliation?
Student
Staff
Faculty
What kind of request are you wanting to submit?
Space Request
Theater Request
Tabling Request
Type of Organization requesting theater
Undergraduate Theatre Collective
Student Union Recognized Club
Brandeis Academic Department
Non-Brandeis Organization (please note that different fees apply for non-Brandeis organizations)
Meeting/Event Information
Name of Meeting/Event
Date of Event
Date of Event
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2044
Start Time
Enter time in the format
hh:mm am/pm
, e.g 09:00 am or 10:30 pm
Reservations may not start before 9am on weekdays and noon on weekends
If you are looking to reserve a space outside of these hours, please email
studentengagement@brandeis.edu
for approval.
End Time
Enter time in the format
hh:mm am/pm
, e.g 09:00 am or 10:00 pm
Reservations must end before 10pm everyday
If you are looking to reserve a space outside of these hours, please email
studentengagement@brandeis.edu
for approval.
Is this time and/or date flexible?
Yes
No
Please make suggestions based on
your
availability.
Please write a short paragraph describing the event.
Depending on the nature of the event, the event may get listed on the university calendar for advertising purposes. If that is the case, the description you include here will be the description used for the university calendar.
Frequency of Event
One Time Only
Every Week
Every Other Week
Once a Month
Day(s) of the Week
Day(s) of the Week
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Are you requesting through the semester or entire year?
Semester
Entire Year
Space needed (First Choice)
If you need multiple spaces, please select what is needed. The Carl J. Shapiro Theater is available by reservation. Please use the Theater Request Form.
Space needed (First Choice)
If you need multiple spaces, please select what is needed. The Carl J. Shapiro Theater is available by reservation. Please use the Theater Request Form.
Room 247 (Capacity of 16: Standard Conference Room Set-Up; Student Org Only)
Room 315 (Capacity of 16: Standard Conference Room Set-Up)
Room 314 (Capacity of 16: Standard Conference Room Set-Up)
Room 313 (Capacity of 24: Standard Conference Room Set-Up)
Room 332 (Capacity of 16: Standard Conference Room Set-Up; Student Org Only)
Room 339 (Capacity of 16: Standard Conference Room Set-Up; Student Org Only)
Multipurpose Room (Room 236; Capacity 80)
Atrium (Main Lobby; Capacity 150)
Great Lawn
Please choose a backup space
Check all that apply
Please choose a backup space
Check all that apply
Room 315 (Capacity of 16: Standard Conference Room Set-Up)
Room 314 (Capacity of 16: Standard Conference Room Set-Up)
Room 313 (Capacity of 24: Standard Conference Room Set-Up)
Multipurpose Room (Room 236; Capacity 80)
Atrium (Main Lobby; Capacity 150)
Great Lawn
Please specify
Please indicate the number of people you are expecting to attend.
Enter a numeric value
Is a room set-up required?(Please note that we do not provide room set ups for 313, 314 and 315)
Yes
No
You have chosen the Atrium as either your first choice or backup choice for your request.
Please review the Room Setup Examples below and indicate which setup is desired.
Atrium - Columns of Tables
Atrium - Rows of Tables
Atrium - Special Event
Atrium - U Shape right with chairs
Atrium - U Shape right
Atrium - U Shape with chairs
Atrium - U Shape
You have chosen the Multipurpose Room as either your first choice or backup choice for your request.
Please review the Room Setup Examples here and indicate which setup is desired.
Multipurpose - Chairs and Tables
Multipurpose - Closed Square
Multipurpose - Open Floor
Multipurpose - Chairs
Multipurpose - U Shape
Please choose the kind of setup you need.
Please choose the kind of setup you need.
Multipurpose - Chairs and Tables
Multipurpose - Closed Square
Multipurpose - Open Floor
Multipurpose - Chairs
Multipurpose - U Shape
Please indicate the number of chairs needed.
Please indicate the number of tables needed.
Please describe any additional setup needs.
Include number of tables, chairs, and staging. Table cloths, easels, round tables and other equipment can be rented through University Events x64300
Will you be serving food?
Yes
No
Please describe
Custodial charged may be applied if food is served.
Catering and other food services are available from University Events x64300)
Will you require the use of Audio-Visual equipment?
Yes
No
Please describe
All conference rooms are equipped with data projector and screen. You will need to provide your own laptop and cord. Equipment not existing may need to be rented through University Events
Is this a fundraiser?
Yes
No
Tabling Information
How many tables?
1 table
2 tables
3 tables
4 tables
5 tables
6 tables
Entire Atrium (Additional follow-up may be required)
Frequency of Event
One Time Only
Weekly
Every Other Week
Once a Month
Please provide additional details on the multiple occurrences of your event.
Date of Event
If you did NOT select "One Time Only" please indicate the first date of your request
Date of Event
If you did NOT select "One Time Only" please indicate the first date of your request
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
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21
22
23
24
25
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31
2000
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2006
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2008
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2015
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2020
2021
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2023
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2025
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2029
2030
2031
2032
2033
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2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
Start Time
Enter time in the format
hh:mm am/pm
, e.g 09:45 am or 12:07 pm
Please describe the purpose of tabling
Will you be providing food while tabling?
Yes
No
Please provide information including what you are distributing and how you will distribute the items. Bake sales are not permitted.
All food must be store bought or individually packaged by the restaurant.
Is this a fundraiser?
Yes
No
Please email the Department of Student Activities to discuss your fundraiser.
studentactivities@brandeis.edu
Theater Request Informational
The Carl J. Shapiro Theater, located in the Shapiro Campus Center, is one of the most popular spaces on the Brandeis campus. The 248-seat auditorium offers a wonderful arena for lectures, concerts, theatrical productions, and much more.
The following items can be provided for your event:
Basic staff support as needed during the event.
Technical equipment including basic lighting, handheld/lavalier microphones, a projector (with power point capabilities), and a VCR/DVD (A/V equipment as needed),
Event planning meetings and pre-show walk-through of the theater.
Staff set-up for your event.
Use of the green room, scene shop, and theater during scheduled event.
Any additional accommodations needed for an event that expands the scope of services provided in this form will need to be requested through Conference & Events – Media Technology Services.
THEATER AVAILABILITY
Please use the request form to inquire about theater availability. A staff member from the Department of Student Engagement will contact you to discuss your reservation request.
Please note that this form is to request the use of the Carl J.Shapiro Theater but is NOT a confirmation.
I have read and understand the above information
I have read and understand the above information
Yes
Event Information
Name of Event
Type of Event
Film Presentation
Meeting
Lecture
Dance Performance
Musical Performance
Theater Performance
Rehearsal
Other
Please provide a brief description of your event below. If your event involves speakers or performers from outside of the Brandeis community, please include who they are and what their performances entail. Also, please provide a website for our reference (if applicable).
Number of people expected
Frequency of Event
One Time Only
Every Week
Every Other Week
Once a Month
Date of Event
If you did NOT select "One Time Only" please indicate the first date of your request
Date of Event
If you did NOT select "One Time Only" please indicate the first date of your request
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
Alternate dates?
Arrival time for preparation
This includes warming up for the show; getting costume; testing AV...
Enter time in the format
hh:mm am/pm
, e.g 09:45 am or 12:07 pm
What time doors open for audience
Enter time in the format
hh:mm am/pm
, e.g 09:45 am or 12:07 pm
Event Start
Enter time in the format
hh:mm am/pm
, e.g 09:45 am or 12:07 pm
Event End Time
Enter time in the format
hh:mm am/pm
, e.g 09:45 am or 12:07 pm
How much time to you anticipate needing for cleaning up after your event?
Please note that these times are subject to theater availability and may be subject to additional fees
Space Information
Please tell us about the space that you would like to request for your event.
Space(s) You Are Requesting
Please check all that apply
Space(s) You Are Requesting
Please check all that apply
Stage in front of curtain
Pit between of stage and seats
Entire Stage
Scene Shop
Green Room
Lobby area in front of theater
Box Office (See Brandeis Tickets for additional information)
Will you be charging a fee or collecting donations for admission?
Please note that all groups charging an admissions or asking for a donation are subject to theater rental fees
Yes
No
If charging for admission, will your organization be handling the ticketing or will you be using Brandeis Tickets?
To request ticketing services from Brandeis Tickets, please visit https://www.brandeis.edu/tickets/ticketing-services
Sales/donations will be handled by the sponsoring organization.
The organization would like to use Brandeis Tickets.
We will not be ticketing this event.
Are you bringing additional non-AV equipment for the stage?
Yes
No
Technical Information
Please note that fees will be incurred if you would like the theater to provide technical support.
Lights
Basic Stage Lighting
Stage Wash On
Stage Wash Off
Pick one background color, any color
House lights
On
Off
Sound
Play provided music
Yes
No
Do you have any sound needs for your event?
Yes
No
Number of mics
Types of mics
Types of mics
Wireless Handheld
Lavalier Mics
Lapel Mics
On stage monitors
Yes
No
A/V
Do you have any AV needs for your event?
Yes
No
Do you require a podium?
Yes
No
What in house audio-visual will you be utilizing
Check all that apply
What in house audio-visual will you be utilizing
Check all that apply
Projector
Screen
VCR Player
DVD Player
Laptop hookup
Other
Projector type
Podium control
Booth control
Connector type
You must supply your own laptop
Connector type
You must supply your own laptop
HDMI
VGA
USB
USBC
Please specify
Are you bringing any AV equipments?
Yes
No
A Theater Assistant will be present to operate any lighting, sound, and audio concerns. However, please note that you are responsible for personnel to help with all other needs (ushers, program distribution, etc.)
Depending on the sponsoring organization and needs of the program, certain rental and associated fees may apply (i.e. building materials, additional rental equipment, paint, etc.). Please include, with this form, as complete a schedule as possible with regards to rehearsals and needs for the associated spaces as checked above. Upon confirmation of your request, a staff member will contact you regarding your program.
Please contact the Department of Student Activities at 781-736-5065 or
studentengagement@brandeis.edu
with any questions.
Submit
