Classroom Equipment Request Form - Information Technology

Media Services - Equipment Request Form

Use this form only when requesting equipment 24 hours in advance. When requesting equipment for same day use, please call 455-6111 for availability.

The online system is unavailable for immediate equipment needs from 2:00 p.m. on Fridays through 9:00 a.m. on Mondays.

Please provide the following information:

Your Information: (All fields required)

Full Name:

Phone (xxx-xxx-xxxx):

E-mail Address:

Department:

Class Information: (All fields required)

Campus:

Room:

Days of Week:

Start Date:

End Date:

Start Time:

End Time:

Equipment Information:

Audio Equipment:

Audiotape Recorder
Blank Tape Length
CD Combo
Digital Audio Recorder
For Audio Conference Equipment call 825-1112.

Cameras and Camcorders:

DV Handy Cam
Digital Still
Flip Video
Tripod

Video Equipment:

VCR/TV
DVD/TV
Video Document Camera
Other: (explain in notes)

Public Address System:

Podium Microphone Qty.
Table Microphone Qty.
Standing Microphone Qty.
Lapel Microphone
Lapel Microphone - wireless

Computer:

Computer & LCD Projector
Computer (only)
Laptop Computer (for conferences, meetings, seminars only – limited loan period)
LCD Projector (only)
Wireless Computer Cart
Number of Wireless Laptops needed
Sympodium/Smart Interactive Desktop Whiteboard
USB/Lecture Capture Microphone
Wireless Powerpoint Remote

Other:

Overhead Transparency Projector
Slide Projector

Special Instructions and other types of equipment needs:

A Confirmation email will be sent to confirm that this request has been filled.