Request for Equipment / Personnel
from the WELS Nebraska District Technology Committee
Services Available
• on-site technical and logistical support for conventions, conferences, events, and meetings
• public address and presentation systems
• T-coil hearing loop
• audio and/or video recording, streaming, and archiving
• local computer network and data server
• electrical power distribution
Responsibilities of Technology Committee
• providing audio, video, ancillary equipment, and technicians as warranted for any services listed above
• accompanying the equipment while being transported (see below)
• all on-site unloading, set-up, operation, tear-down, and reloading of equipment
• training local support personnel as necessary
Responsibilities of Event Coordinator
• detailing all functionality needed at least 60 days in advance of the event (use form below)
• furnishing the physical setting (altar, pulpit, podium, tables, chairs, keyboard, etc.)
• reserving sufficient space in the setting for audio/visual equipment (equivalent to six 8 foot tables)
• providing physical access to the setting and sufficient time for set-up (24 hours) and tear-down (12 hours)
• allowing access to lighting controls and sufficient electrical circuits
• supplying hard-wired broadband internet access as needed
• providing additional local personnel as determined in advance by the Technology Committee
• a nominal per use maintenance fee for equipment used (negotiated in advance), and incidental expenses
• round trip travel mileage and expenses for tow vehicle
• housing and meals for the traveling technicians, including time for travel, set-up, and tear-down
Equipment Transportation
The production and related support equipment is transported in the Technology Committee’s tandem-axle trailer to the requesting site. (Tow vehicles require a class III hitch, 2 5/16” ball, and 18” vertical hitch height, and should be capable of towing a 5000 lb load with a 500 lb tongue weight. An electronic brake controller is preferred.) Technicians from the committee must accompany the equipment (minimum of one person for audio only, at least three for video).
Event Details
Event Name: *
Your answer
Event Location(s): *
Please e-mail a detailed drawing of location(s) including seating and electrical/network outlets to "".
Your answer
Event Date(s): *
Please e-mail a detailed agenda to "".
Your answer
Event Contact: *
Please give name, phone number, and e-mail address.
Your answer
Facility Contact (if different):
Please give name, phone number, and e-mail address.
Your answer
Does the event need projectors? *
Number of video projectors needed:
Your answer
Number of front or rear projection screens needed:
Your answer
Media to be projected?
slides, CD, DVD, internet stream, etc.
Your answer
Remote control for presenter at podium?
Video monitor for presenter at podium?
Any custom graphics needed?
Your answer
Does the event need audio reinforcement? *
Approximate size of room(s):
length by width
Your answer
Approximate number of people in the audience:
Your answer
Will there be a piano, organ, or keyboard?
Will there be a choir or vocal ensemble?
Will there be instrument groups?
Number and positions of wired microphones:
Your answer
Number and positions of wireless microphones:
Your answer
Is audio playback needed?
CD, DVD, internet stream, etc.
Your answer
Should the event be recorded and archived?
If yes, how many hours, and on what media?
Your answer
Is a T-coil loop (for hearing aids) needed?
Does the event need video recording or streaming? *
Number of video cameras needed?
Your answer
Hours of video recording or archiving?
If yes, how many hours, and on what media?
Your answer
Live video streaming?
Has broadcast permission been secured from all presenters?
Computer Network
Does the event need a computer network (WiFi, ethernet, file servers, etc.)? *
Should the Tech Committee provide the audience with wireless (WiFi) access to the internet?
Should the Tech Committee provide the audience with wireless (WiFi) access to the local network?
Description of server requirements:
including file structure, naming conventions, security, and permissions
Your answer
Power Grid
Does the event need power outlets for the audience? *
Number of rows, tables, or pews:
Your answer
Approximate number of personal electronic devices that need an outlet:
Your answer
Room floor surfaces?
tile, wood, carpet, etc.
Your answer
Room wall surfaces?
wood, wallpaper, plaster, etc.
Your answer
Room lighting?
fluorescent, incandescent, LED, etc.
Your answer
Type of overnight security for equipment?
Your answer
Any other questions or comments?
Your answer
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This form was created inside of Rocky Mountain Lutheran High School.