Audio Visual & Classroom Technology Booking Form
Contact Information

**Please ensure you have completed all of the required fields.

Indicate Term**
Fall Winter Spring/Summer
First name **
 Last name **
Department
 Faculty
Phone (nnn)nnn-nnnn **
 E-mail **
Office address
 Form completed by **
Course number
OR Event
FOAP number

Please note : Equipment is available for instructional support for faculty and staff. Confirmation will be sent to your e-mail address once your request has been processed.

Reservations must be made 48 hours before the start time and date that you enter.

Date Required **
Start Date (MM/DD/YYYY)
 Start Time
End Date (MM/DD/YYYY)
 End Time

Please indicate days of the week for repeat requests
Monday Tuesday Wednesday Thursday Friday

Room No.** Building**

Equipment Required
Please indicate the equipment you will be using. This includes equipment that is installed in the room as cabinets remain locked unless reserved.
Overhead Projector Microphone
Slide Projector
 Own Laptop
Portable Data Projector
 Laptop Computer
Installed Data Projector
 Installed Computer
Television/Monitor DVD/VCR
List of Other Equipment or Media Titles or Other Times/Scheduling

Please see our Media Catalogue for a list of video and DVD programs.
** To login to the catalogue use media as the username and password. **
Services Required
Setup User Pickup and Return Demonstration
Remarks or special instructions