* = required

*Course Title:

*Professor:

*Contact Person:

*Phone Number:

*Email Address:

*Days of the week (The dept. is closed Sun. & Holidays)
select one or more Monday Tuesday Wednesday Thursday Friday Saturday

*Classroom: select one 109 110 140 141 156 160 164 200 201 202 203 205 206 207 210 220 337 342 344 347 437 492 520 587 588 Hart Aud. 108 (Fegal Court Room) 109 12^th Floor 1000 2000 2003 (Sup. Ct) 5013 5020 5021 5027 6005 6006

*Class Starts at: : AM PM

*Ends at: : AM PM

Equipment Needed:

Portable Camera Cart

Aimed toward: Professor/Blackboard Student Seating Other (write in Special Instructions below)

VHS DVD

Data Projector/Computer Projection

DP Fed By:
Client Laptop AV Dept Laptop Copy Stand (Elmo)
Built-in Lectern PC (Only in McDonough 200, 206, 207 or Hotung 1000, 2000)

Audio from Computer/Laptop

2-3 minute Show How (For In-Depth Instruction, contact our Instructional Technologist at x9796)

Overhead (with pens and transparencies)

Slide Projector

Flip Chart (with pens and unlined paper)

Portable Voice Amplifier (for 75 seat or smaller)

Wired Lav. Mic. (201, 202, 203, 205)

Wireless Lav. Mic. (200, 202, 205, 206, 207)

Audio Playback from: Audiocassette Compact Disc/MP3

Audio Recording for: Student Professor

Special Instructions:

*Filled out by:     *Title:

Note: requests received after 5:00 pm will not be processed until the following day.