Date of event: Setup Time: Start Time: End Time: Location: Requester: Requester's Email: Phone: Department: Contact Person: Contact Phone:
Presentation Equipment Data Projector Tripod Screen Presentation Audio (I.E. PowerPoint Sound Clips) IT supplied Mac laptop IT supplied PC laptop Presenter is supplying a laptop: Mac PC DVD Player (is the DVD for a region other than Region 1?) [What's this?] Region 1 Other Region VCR (VHS Player) (is the tape Multi-Standard? Yes No) CD Player TV/DVD/VCR Combo Overhead Projector (Transparencies) Slide Projector: One Two
Microphones On Lectern Quantity: Lectern Light: **Note: Lectern is arranged through Facilities (#3333) Wireless HandHeld Quantity: If a panel, how many speakers: **Note: Table is arranged through Facilities (#3333) Wireless Lavaliere Quantity:
Level of Assistance Technician Present Help Start Setup Only Videotape the Event (requires signed Media Release form (pdf)
After Event Media Request (requires signed Media Release form (pdf) DVD Copy Recording for Podcast* Live Webcast* Make available in iTunes U*
Additional Comments: