Audio/Video Service Request Form
Fill out this form to submit requests for AV services, equipment, and staffing.
Form must be submitted one week in advance to ensure best service.
All equipment checked out must be picked up by 4:30 PM, M-F. Equipment checked out over the weekend must be returned the following Monday morning. Duration of check out TBD upon check out.
Department or Organization
The AV Dept. is not responsible for delivery or pick up.
Digital still camera
Digital handheld recorder
Portable DVD player
Portable 1TB hard drive
Portable PA w/microphone
Cables (VGA, USB, HDMI, RCA, etc)
other equipment (specify in comments box)
For classrooms only:
Mobile flat screen TV
SERVICES AND SUPPORT:
In office support:
Media conversion (VHS to DVD, etc.)
DVD duplication/label printing
Campus wide support:
Film event or class
Set up PA with microphone
Set up projector and screen
Classroom equipment tutorial
Classroom use after hours (optional)
Alumni Room support
Trustee Room support
Other events (specify in comments box)
Location of event
Intended use of equipment
Comments or special instructions
Date and time (actual start time) of event or equipment pick up*
*IMPORTANT - requests made with less that one week's notice are subject to denial of service
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