Arts and Sciences Multimedia Request Form

Classroom Training • Event Support • Equipment Reservations

To reserve a classroom for a one-time event, submit a request to the Student Services Center.

To reserve multimedia equipment and/or to request classroom training or support, please fill in the form below. Be sure to fill in all fields with an asterisk beside them and remember to click "submit" at the bottom of the page. You will receive an e-mail confirmation of your request.

If you have questions, please call the A&S Media-Equipped Classroom (MEC) Support Team at 660-3088, or refer to our Classroom Resources Web site.

Contact Info
* Contact's First Name:
* Contact's Last Name:
Faculty First Name:
Faculty Last Name:
* Phone:
Alt. Phone:
Email:
Department:
Status:
For:
Work Details
Course Title or Event Name:
Bldg and Room:
Time span for support:
Meeting Days: check all that apply	Su M T W Th F Sa
Start date: mm/dd/yyyy
End date: mm/dd/yyyy
Start time: hour:minutes AM/PM
End time: hour:minutes AM/PM

Multimedia
VHS (U.S. format) VCR Microphone DVD Region 2 DVD Standard SVHS Camcorder Need ASC Laptop Checkout Data/Video Projector Auxiliary sound Overhead projector 35 mm slide	TV/VCR cart Laser player PC computer Mac computer Laptop hookup 16mm film Multistandard VCR 3/4 inch VCR Lectopia recording CD/Tape player
Other Multimedia
Labor
Projectionist Delivery / Pickup only Setup/Takedown assistance No help needed after training No help needed
Training and Keys
Do you need training?
Do you need a key?
Any additional information (e.g. Include availibility for training)

Note: Please remember to reserve the classroom for your event. This form requests only multimedia support and training and does not make a room reservation.

To reserve a classroom for a one-time event, submit a request to the Student Services Center.