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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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