TTLC - Equipment Request Form

Multimedia Equipment Reservation Form

	Equipment Inventory
	Presentation Rooms
	Reserve Equipment Form
	Photography & Posters
	Request & Report Form
	Staff, Contact, and Hours
	Multimedia Home

Please make your reservations 24 hours in advance of the time needed. Equipment requested for evening classes and Saturday classes should be returned to the Academic Computing Lab, 800S. All classrooms have permanently assigned overhead projectors. Many classrooms have permanently assigned televisions and videocassette recorders.

Multimedia Equipment Reservation Form

Items marked with a red* are required

Name: *

Department: *

Contact Phone:*

Email Address:*

Would you like to receive notification when your reservation is confirmed?
Yes No

Audio Equipment: (check all that apply)
Audio cassette player Audio cassette player/recorder CD player
Headphones Record Player Audio cassette player with FM radio player recorder With FM radio and CD Portable Public Address System With 2 Speakers Digital Recorder

Microphone:
Desk/Podium Lavalier Wired Lavalier Wireless Handheld
Wireless Lavalier Microphone Mixer Headset Microphone

Visual Presentation Equipment: (check all that apply)

Tripod Display Easel Flip-Chart Extention Cord Laser Pointer
Document Camera Overhead projector Projection cart
16mm projector Slide projector Easel PowerPoint Remote Opaque Projector
Portable Spotlight Document Camera

Computer Presentation Equipment: (check all that apply)
*Please note that the wireless internet on the media carts is only available in the Academic Building Floors 3,4,6,7 North Building 6th Floor and North Building 4th Floor.

Laptop PC LCD video projector Media Cart [PC computer, LCD]

Photographic Equipment: (check all that apply)

35mm camera Digital Camera Tripod Point and Shoot

Video Equipment: (check all that apply)

Digital Video Camcorder SVHS Camcorder Television TV/VCR (25-inch)
TV/VHS/DVD Combo (25-inch)

Date(s) Needed:
At least one from and to date is required.

From	To (where applicable)
*	*

Time(s): You must designate at least one start and end time.
Start Time	End Time
am pm*	am pm *
am pm	am pm
am pm	am pm

Room Number:*

Delivery or Pickup:*
Delivery Pickup

Comments/Questions

If you need technical operating assistance or have additional comments please describe your needs in detail.

If equipment is reserved for use during any evening classes scheduled after 5pm, please return it to the academic computer lab (S800) after you are finished.
University multimedia equipment may be used only for university sponsored activities. Clients wishing to use equipment for non-academic activities may be charged a rental fee.
Multimedia equipment may not be taken off-campus with the
Approval of the Multimedia Services Coordinator.
Reservations for the use of equipment required for student presentations must be made by their instructors.

The following instructional equipment is available for classroom and office use in accordance with Multimedia Equipment Reservation Policies. Equipment may be reserved by calling 713-221-8190, by completing the Reservation Form below, or by making your reservation in person at the Multimedia office (A729).