Request Form

 

Client Information:

 
Course Number:

Comments:

 

Department:


CIS Media Services ext.3822
ACS Video Services ext.3359
This is an interdepartmental form used for both CIS Media and ACS Video Services. 

Delivery Information:

 
MM/DD/YY YY
MM/DD/YY YY

 
If you are making a Recurring Order, you must specify a Starting Date for when the cycle begins and an Ending Date for the cycle to terminate.Please keep in mind you must create a reservation request for each day of the week, for example if you have a Monday and Wednesday class at 4:30pm first create your Monday request and submit the completed form and then click on the Media Manager Request link and reenter the info for your Wednesday class.
 
One Time Only  
Daily  
Weekly Every 
Monthly The  of the month(s).

 


mm/dd/yyyy

 


mm/dd/yyyy

 

Basic A-V Equipment Information:

 
 
1.
2.
3.
4.
5.

Software Installation Requests:

I'm requesting that following software be installed on the Media computer in:
Building:

 

 

Room # Software requested:

All Media Services computers have the following software already pre-installed on their OS:

Adobe Acrobat Reader Itunes Penoffice 2.5 (only on Wacom rooms) SPSS
Adobe Creative Suite Jzip Polycom Skype
Comic Life McAfee Anti Virus Power DVD DX (DELL PCS ONLY) Sonic
Endnote Microsoft Office 2007 Putty Safari
IE Mozilla FireFox Quicktime VLC Media Player
Google Chrome Notebook Real Player Windows Media Player
Google Earth NVivio Scratch Windows Movie Maker
Inspiration   Second Life  

    PLEASE CHECK INFORMATION IS ENTERED CORRECTLY BEFORE SUBMITTING: