On-line AV-Request Form

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Audio Visual Equipment Request Form

If you are using a forms-capable web browser, you may fill out the following form to apply for audio/visual equipment at Shawnee Community College. Forms must be filled out completely.

If you have questions, please direct them to: russs@shawneecc.edu

General Information

Please Complete ALL areas of the form.

*Please note: This form is for on-campus requests only. Equipment requests for off-campus locations must be pre-approved by the SCC President or your Department Head. For more information on making off-campus requests call Russ Stoup at ext. 3276 or email at russs@shawneecc.edu.

First Name:
Last Name:

Department:

e-mail:

Phone Number:

Date Needed:

Time:

Room Number:

Equipment Type:

How Many:

Special Set-Up Requests (please be specific).

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