AV Request Form

All equipment requests will be scheduled in the order in which they are received. You may be contacted by email or phone if there are questions regarding your request.

To reserve a room, you should email Facilities Scheduling or call them at 753-2101

Name
Phone Number
E-mail Address
Department
Event Location/Room #
The A/V department schedules extra setup time as required. Please only give the EXACT class times.
Start Date (mm/dd) Stop Date (mm/dd)
Days of Recurring Use: Mon Tues Wed Thurs Fri Sat Sun
Start Time End Time
Equipment Needed Laptop Computer (Select only if you need this provided)
  LCD Projector - (Select only if you need this provided)
  Jump/Flash Drive CD Rom 3.5 Floppy Diskette
  DVD Internet Audio Cassette Tape Recorder/Player
  Projection Screen Slide Projector Overhead Projector
  TV/VCR Combination TV/DVD Combination  
Services Available DVD/CD Duplicating of "Unprotectd Recordings" (refer to the U.S. Copyright Laws)
  Audio Cassette Tape Reproduction Video Cassette Tape Reproduction
  Public Address System Setup
  Video Camera Taping and Transfer to VHS or DVD
Please add any other pertinent information about your equipment and/or service request: