Audio–Visual Equipment Reservation Form

NCNM faculty may use this form to request AV equipment for classroom use. Questions? Contact Stephen Dehner, Audio Visual and Instructional Technology Coordinator, 503.552.1546, sdehner@ncnm.edu.

CONTACT INFORMATION

Your Full Name (required)

Phone (required)

Email (required)

WHAT YOU NEED

Equipment Needs
 LCD Projector + PC, Teach 1 or 2 LCD Projector Only, to use with laptop Video Camcorder TV Cart 1, DVD, VCR TV Cart 2-PC, DVD, VCR Overhead Projector Slide Projector CD Player

Other Equipment Needs

WHERE DO YOU NEED IT

Room Number

WHEN YOU NEED IT

Specific Date (if needed once)

Recurring Dates (if needed more than once)

Start Time

End Time

Additional Information

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