Classroom Equipment Request Form

**Please do no submit on-line requests after 2:00 p.m. on Friday through 9:00 a.m. on Monday for Monday equipment use.**

A Confirmation email will be sent to confirm that this request has been filled

Type of Use:			Classroom	Short-term loan

Audio Equipment:				Camera:		PA Sound System:
Audiotape Recorder				Digital Still Camera		Microphone Qty.
Blank Tape		Size		35 mm Camera		Hand-held
CD Player				Video Camera		Wireless
Record Player				VHS		Lapel
Computer:					VHS-C	PolyCom Audio Conference
PC+Projector					S-VHS	Microphone Stands:
PC(only)					Digital	Table top
Laptop					Blank TapeSize	Floor stand
Wireless Computer Cart				Video Equipment:		Podium
Interactive Whiteboard				Video Projector
Internet Access: YesNo				Laser Disk/TV		Misc:
Electronic White Board				DVD/TV		Remote Control
Traditional AV:				DVD/Video Projector		Wireless Mouse
VHS/TV				Document Camera/Video Projector		Tripod
Film Projector				PolyCom Video Conference		Other: (explain in notes)
Overhead Projector
Slide Projector
	Carousel tray
	Remote control
Notes and Special Instructions: