Please use one form per course.
*Fields marked with an asterisk are required. Please verify that all required fields have been filled-in before submitting the form.
Please provide the following contact information:
*Time - beginning and end:
* Course No./Section:
*Days course meets:
*Equipment required - delivered (if no equipment is required for delivery, please select "NONE")
*Equipment required - faculty pickup/return (If no equipment is required for pick-up please select "NONE".)
Instructional Material Required (films, videotapes, CD's, etc.) Note: Instructional Material is delivered to classroom.
Title and Carroll Catalog Number:
Please review your request before submitting.
You will receive a confirmation from Media Services after your request has been
entered on the schedule.