Reservation Form

Please fill out this form to request building/space/room/lab access for Atkinson Hall. Access needs to be approved before you are allowed to work in Atkinson Hall, even for those spaces that are accessible without key cards. Approval of your access request will automatically result in your UCSD card being programmed into our system, such that you can enter the spaces you have been approved for.

Space you are requesting access to:

Select Floor:

Space/room/lab. When requesting access to a room/lab, you will automatically be granted access to the related floor and the building, provided your access is approved. Entries marked in blue indicate core facilities.

End date of access (mm/dd/yyyy). If no end date is provided, undergraduate students’ access will end at the end of the quarter and graduate students’ will end at the end of the academic year.

Access hours requested. Default is Standard Business Hours for undergraduates and Extended Business Hours for all others.

Detailed description of why you need access to the space. Please include project and PI/supervisor name. If access hours requested above are different from the default, also explain.

Office Number/Open Space. Give the room number you are requesting access to:
(If Applicable)

Personal information:

Last Name :	First Name :	M.I. :

UCSD staff/student/affiliate ID #:
Check here for Non-UCSD

Email:

UCSD Status:

Afilliation/Home department:

Other. If you selected "Other" for your affiliation above, indicate your company/organization.

Review and accept the agreements

By clicking on 'Send ' below you are agreeing to the Building Access Policies