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XU Home > IR > DS > Classroom Support > Equipment Request Form

equipment request

Use this form to request AV equipment for classroom presentations and non-classroom events.  Please submit one form per course/event. Complete the form and then click the "Send It!" button. For more information contact:

Requester

  
   
Name:
   
Department:
   
Email:
   
Phone #:
   

Equipment needed:
   
Computer Projection:
   
Video Projection:
   
Audio Playback:
   
   
Still Image Display:
Use the 'Control' key to
select multiple options.
   
  Flipchart quantity needed (if applicable):
   
Additional Equipment:
Use the 'Control' key to
select multiple options.

   
   
recording classes or events:
   

Video recording
Please describe the event and
the nature of the recording:
   
Audio recording
Please describe the event and
the nature of the recording:
   
date & time:
   
Date:
   
Start Time:
   
End Time:
   
standing orders:  
   

For standing orders enter
day or days needed:
   
Start Date:
   
End Date:
   
location:  
   
Building:
   
Room Number:
   
   
   

Notes and special instructions:

 

  

 

 

 

 


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
 
 

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