AV Equipment Request Form

Use this form to request delivery of AV equipment to your open classroom. AV scheduling occurs Monday through Friday, 8:00 am to 4:00 pm. By 4:00 pm, the schedule for next day's business is complete, so please have your request to us by 4:00 pm, else we cannot guarantee delivery.

Please do not use this form if you need to check out any AV equipment for departmental, or off campus use. If you have such a need, call the Faculty Resource Center at 516-6704

Please check our Permanently Placed TV/VCR List prior to submitting a request for a TV/VCR unit.

Please fill out all fields before submitting. Thank you.

1. Please Fill out your Contact Information:

Your Name:
Your Email:
Requestor's Name:
Requestor's Email:
Contact Phone:

2. Please Fill out the Information for the Event Requested:

Event Date:
Start Time:
End Time:

3. Please Fill out the Information for the Room and Equipment Requested:

Specific Room

Please Provide any additional Comments or Concerns: