Learning Commons Exhibit Request Form

Requests for exhibit/display space in the Matheson Learning Commons should be submitted on the following online form:

Name: *

Department: *

Status: *

Staff

Faculty

Student

Email address: *

Subject or title of exhibit: *

Medium to be displayed: *

Begin display on?: *

End display on?: *

Expected setup date: *

What audiences will the exhibit attract?: *

What exhibit space would you prefer?: *

Approx. number of linear feet required::

Approx. number of square feet required::

Provide number and descriptions of objects to be included: *

Is the exhibit on loan from another institution?: *

Yes

Are the items insured?: *

Yes

Total insured value::

Are any lectures, receptions or events planned to accompany the exhibit?: *

Planned publicity?: *

Brock University Niagara Region 500 Glenridge Ave., St. Catharines, Ont., L2S 3A1 Canada

Telephone: 905-688-5550