To: johnsen@fiu.edu, garciajc@fiu.edu, broward@fiu.edu,[Required-EMail]
Subject: Group Study Space Request from FIU Pines Home Page

Thank you for submitting your request. It will be processed by our staff who will contact you to confirm your request. Keep this information handy for future reference.

FIU Broward Pines Center

Student Name: [Student]

Course: [Course]

Telephone: [Telephone]

E-mail Address: [Required-EMail]

Please indicate day(s) and time(s) below:

Date room is needed: [Required-Date]

Time room is needed
Start Time:  [Required-Time]
End Time:    [Required-Time2]

Additional Comments: [Comments]