ACADEMIC CLASS
AUDIO VISUAL EQUIPMENT RESERVATION POLICY & REQUEST FORM

Use this form to request Audio Visual equipment for Academic Classes only. If you need to request a Room Reservation along with audio visual equipment, please use the on-line ROOM RESERVATION REQUEST FORM.

Please indicate which of the following presentation equipment needs you have and forward the request to the Audio Visual Department using the electronic form below.

Times are in 15 minute increments. Please choose start/end time closest to your actual class start & end times.

Request for Audio Visual Equipment

Course Name:			Room Number Assigned:

Your name:			Your email address:

Affiliation Law School SGSB Public Administration

Select either A or B

SECTION A: SET UP FOR A SINGLE CLASS

Month
Day
Year

Start Time End Time

AM PM AM PM

SECTION B: SET UP FOR EVERY CLASS (throughout semester)

Specify Class Days
Monday Tuesday Wednesday Thursday Friday

Class Start Date

Month
Day
Year

Class End Date

Month
Day
Year

Start Time End Time

AM PM AM PM

SELECT REQUIRED AUDIO VISUAL REQUIREMENTS

Microphone LCD Projector for Powerpoint

With
Laptop Without
Laptop

VHS Tape Deck Overhead Projector
for transparencies

Camcorder Digital Voice Recorder

Audio Cassette Deck Television Monitor

DVD Player Flip Chart & Markers

Use this space to provide other information or requirements.

CAUTION: This form is to be used for ACADEMIC CLASS equipment requests only. DO NOT use this form for room reservation requests.

RELATED FORMS

Room Reservation Form

ACADEMIC CLASS AUDIO VISUAL EQUIPMENT RESERVATION POLICY & REQUEST FORM

Request for Audio Visual Equipment

CAUTION: This form is to be used for ACADEMIC CLASS equipment requests only. DO NOT use this form for room reservation requests.

ACADEMIC CLASS
AUDIO VISUAL EQUIPMENT RESERVATION POLICY & REQUEST FORM