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A-V Setup Request Form


This form may be used by faculty, staff and student organization representatives* for on campus events in academic spaces or public buildings. Please review the A-V Services policy first!

*Student organization representatives should use this form only for events occurring during business hours in academic or public spaces (no residences); otherwise, please make an A-V equipment loan request.

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Request submitted by:
Your e-mail address:
Your department/org:
Your phone number:
Event coordinator (if other than above):
A student organization rep, must also include the following two items:
Supervisor's name:
Supervisor's email:
Date(s) of event:
Location of event:
Event start time:
Event end time:
Setup* time:
  *Setup time indicates when you prefer for the equipment be set up in the room. Actual setup time, however, is often determined by factors beyond our control (e.g. other events in that space, previously scheduled setups, etc.).
Would you like to request a pre-event equipment and/or sound check? Yes No
  • If "Yes", please indicate preferred time for setup check:
  Date: Time:
    • Note: this time may require negotiation depending on various availability factors
      (e.g. other events in that space, previously scheduled setups, etc.)
  • Please indicate who will be attending this setup check:
A-V Equipment^# (availability varies)

Desktop computer with speakers

DVD player, stand alone unit

Microphone: regular, handheld wireless or Lavalier lapel wireless

Microphone stand

Projection screen

Data projector, carousel 35mm slide projector, overhead projector

Radio/CD/cassette tape recorder

Tape recorder, audio cassette

TV/VCR combo, 25"

VCR, stand alone unit

 
^Faculty and staff may also request to borrow digital video and still cameras, laptops and projectors through the I.T. loan pool.
#Student organization representatives may also request to borrow data/video projectors and portable screens from the HelpDesk.

Please provide details of your request below:

Please use your "BACK" button if you receive an error message to complete the form. E-mail the A-V Techs if you experience other problems.

You should receive e-mail confirmation of your setup request. E-mail confirmation is an important step in verifying that your request was received properly. If you do not receive confirmation within 24 hours, we need to hear from you!

Thank you

  

 

 

 

 

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