Interactive AV Equipment Scheduling Form

To reserve audio visual equipment fill out the information below. All identifying and scheduling information must be filled in.  Please give as much notice as possible, at least 24 hours notice as equipment is assigned on a first come, first serve basis.  If you have any questions or need help call the Help Desk at ext. 2140, or come to the Help Desk office, room A-7. or send us email.

Instructor's Name:   

E-Mail Adress:

Department:      Extension: 

Date Equipment Wanted (mm/dd/yy):    Day:   

Time Equipment Wanted: 

Time From: am   pm       Time To:    am  pm

Room Number: 

Equipment you wish to reserve (you may check multiple items):

  Overhead Projector              VHS Player

  35mm Slide Projector

  DVD Playback

  Screen

  Must pick up and return in person:

  Data Projector

  Laptop Computer

  CD /Cassette player

Other equipment and/or special requests: