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Lactation/Medical Space Request Form
Lactation/Medical Space Request Form
Please complete the form below to request the usage of a Lactation/Medical space on one of our campuses. Please note, the spaces must be reserved in advance and atleast a 72 hour request must be submitted.
First and Last Name
*
Student ID Number (900)
*
Student Email
*
Please indicate which campus location you need to reserve a Lactation/Medical Space.
*
Appalachian Campus - Building 200
Appalachian Campus - Building 400
Aviation Campus
Canton Campus
Marietta Campus - Building E
Marietta Campus - Building G
Marietta Campus - Building I
Mt.View Campus
North Metro Campus - Building B
North Metro Campus - Building F
Paulding Campus
Woodstock Campus
Please list the days and times of week you will need to reserve the sapce.
*