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Audio-Visual/Media Services Equipment Request Form

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It shall be the responsibility of the faculty or staff member to make sure the door to the room is locked and closed behind you at the conclusion of your class or event. Our Media Services Department will be contacting you to confirm your equipment requests. There are no charges for PNC sponsored events. Complete all appropriate boxes. You will be notified if your request has been approved.

*Required

* I certify I have read and will adhere to conditions stated above.

Please use this form to request television, audio-visual equipment, or other media services. You may also use this form to request studio use or studio productions.

Equipment requests should be made far enough in advance in order to insure time for setup and equipment availability. We recommend 36 hours prior notification. If you need further assistance, please consult the Media Services staff at avdept@pnc.edu or call Media Services at extension 5270 or 5379.

Name

Phone

*Email

Class/Event

Event Start Time AM   PM

Event End Time    AM   PM

Month and Day    and

Semester

Make recurring every

Repeat until

Building and Room Location:

(Choose one per request)
*Denotes Smart Classroom. All Smart Classrooms have the following equipment permanently installed: LCD projector, PC with internet connection, and VCR/DVD, unless otherwise noted above. For more information on Smart Classrooms, please contact Information Services.

Other Building, Room (not listed):

Equipment Available
(click here for photos and descriptions.)

Video or LCD Equipment Needed:
&
Check here if an internet & network connection is required for your request.

If you are requesting a camera, please be aware that you will need to provide your own media (VHS tape or blank DVD-R disc) for the recording.

Audio Equipment Needed:
&

Studio Use:

Please list special instructions or needs as well as any information not addressed above for your request:
(Ie. Technician needed onsite, number of wireless microphones, event setup time, etc.)

Do you need instructions on how to properly operate the equipment you have requested?
YES NO

Please do not hesitate to contact Media Services at extension 5270 or 5379 or avdept@pnc.edu about setting up a time for us to work with you one on one on how to use the requested equipment.

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