Request for Space at InCHIP to Hold Recurring Research Meetings The information below is required to request InCHIP meeting space on a recurring basis. If you want to reserve space for a one-time meeting, please click here. Please note that no course-related meetings are permitted using InCHIP rooms. Please fill out the following form (which will take approximately 10 minutes). Once your request is reviewed by one of the InCHIP Directors, you will be contacted by an InCHIP administrative staff member.InCHIP InformationName* First Last Phone*Email* Department/School at UConn*What is your position at UConn?*FacultyResearch ScientistResearch Associate/AssistantGraduate StudentUndergraduate StudentOtherPlease describe your position at UConn*Are you an InCHIP Affiliate?*YesNoIf you want to become an InCHIP Affiliate, you can find more information here.Who is the Principal Investigator (PI) or faculty member supervising these meetings?*If you are the supervising PI or faculty member, please list your own name here.Is the supervising PI or faculty member listed above an InCHIP affiliate?*YesNoMeeting Space RequestPurpose of Meetings*How are these meetings consistent with InCHIP's Mission Statement?*InCHIP Mission Statement: http://www.chip.uconn.edu/about/mission/Please check what room(s) you are requesting to use for your meetings* Colloquium Room (Room 14), J. Ray Ryan Building Small Conference Room (Room 3), J. Ray Ryan Building Second Floor Conference Room (Room 211), J. Ray Ryan Building Focus Room (Room 213), J. Ray Ryan Building A description of facilities available through InCHIP is available here.Please include date(s), day(s) of the week, time(s), and a timespan for recurring usage. (e.g. "every Monday and Wednesday from 1-3pm between 6/20/16 and 7/6/16")*Please note that meeting space is only available between 8am-5pm, on Monday-Friday. Any requests for meeting space before 8am, after 5pm, or on weekends will be denied.How many people do you expect to attend each requested meeting?*PhoneThis field is for validation purposes and should be left unchanged.