*Name
*Email
*Phone
*Department
*Cost Center Manager

*Event Name
*Estimated Attendance

*Campus/Bldg Room

*
Start Date


(mm/dd/yyyy)

*
Start Time
HR
MIN
AM/PM
*End Date *End Time

Projection Screen Qty   Easel Qty      

Set Up If Setup is checked, this request will be forwarded to Maintenance upon
confirmation of room reservation by campus scheduler.
Please be specific with your Setup needs.

Audio Visual If Audio Visual is checked, please allow 2 weeks. This AV request will be forwarded to the Help Desk upon confirmation of room reservation by campus scheduler.
     
  Please describe the specific nature of your event and any Audio Visual requirements, such as audio reinforcement, number of presenters and media you plan to use.
(Not all services are available in all locations)
The College Electronics Technician will contact you by telephone or email to discuss your requirements upon receipt of the Help Desk request.
Audio Visual
Equipment Needs
     
 
Must be completed 2 weeks before event.
List the title of the teleconference/webcast, program date, time, and specify if it's to be a "live audience" or "live audience and tape". You are responsible for program payment to the provider and forwarding of technical information to Wally Luksa, IDS-EVC.
Teleconference
or Webcast


     
  Telephony will deliver and set up the conference phone on the date you request. It is your responsibility to return the conference phone to the Help Desk, FOC 4 or to make arrangements to have the conference phone picked up by calling (457-2900) or e-mailing the Help Desk.

We will also make sure there is a working phone jack available. We also need to know if only outbound calls will be made or if outside parties will be calling in to the conference phone. It makes a difference on the kind of number we assign to the phone.
Conference Phone

Library
Resources
If a Library Resource is checked, this request will be forwarded to the selected library.
Road Warrior (Includes Laptop Computer and LCD projector)    
Laptop Computer (from Road Warrior)    
LCD Projector (from Road Warrior)    
Digital Camera    
Camcorder    
Boom Box    
Slide Projector    
Pick up
at Library
 
Pick up Date

 
Pick up Time

Return Date
 
Return Time
   

Miscellaneous Information
 
Daily Events
College Wide Calendar