Media Distribution

Online Equipment Request Form For On Campus Use Of Equipment

Online requests require 24 hours notice and are subject to equipment availability. When we receive your request Media Distribution will confirm with follow up email.

Online equipment requests are available to faculty and staff who have had training in the use of media equipment. Students requiring media equipment must have instructor submit request.

Please note this is only for On-Campus requests.

Novell Login (Required)

Username :
Password :

Contact Information

First Name :
Last Name :
Phone :
Email :

Media Request

303 & 103 Mult. Carts :
Data Projector :
Tape Recorder :
CD Player :
Slide Projector :
Easel :
Flipchart :

Video Request

Title :
Call Number :

Dates Requested

Start:

End:

Is request during Finals Week? Yes No

Days of the Week

Mon Tues Wed Thurs Fri Sat Sun

Class Information

Room :
Start Time : -Hr- 1 2 3 4 5 6 7 8 9 10 11 12 -Min- :00 :05 :10 :15 :20 :25 :30 :35 :40 :45 :50 :55 a.m. p.m.
End Time : -Hr- 1 2 3 4 5 6 7 8 9 10 11 12 -Min- :00 :05 :10 :15 :20 :25 :30 :35 :40 :45 :50 :55 a.m. p.m.

Semester Request? Yes No

Additional Comments