Equipment Request Form

Use this form to request AV equipment for classroom presentations and non-classroom events. Please submit one form per course/event. For more information contact Classroom Support at 513-745-3603.

Name: *

Department:

Email: *

Phone #: *

EQUIPMENT NEEDED:

Computer Projection:

Video Projection:

Audio Playback:

Still Image Display:

Document camera (opaque source)
Overhead projector (transparent source)
Slide projector
Flipchart

Flipchart quantity needed (if applicable):

Additional Equipment:

Presentation remote
Portable screen
Microphone
Markers

DATE & TIME:

For standing orders enter day or days needed:

Start Date: *

Start Time:

End Date: *

End Time:

LOCATION:

Building: *

Room Number: *

Notes and special instructions:

Equipment Request Form

HOURS