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 McAfee Anti Virus Safari Windows Media Player
Endnote Microsoft Office SPSS Windows Movie Maker
Inspiration Mozilla FireFox Skype  
Internet Explorer Notebook Sonic  
Itunes NVivio Tegrity  
Jzip Polycom Real Player  
Google Chrome Quicktime VLC Media Player  
     

    PLEASE CHECK INFORMATION IS ENTERED CORRECTLY BEFORE SUBMITTING: