SPHHP Information Technology Services
Seeing the Forest and the Trees

 

SPHHP Kimball 113 Request Form

Please schedule two weeks in advance of the date needed. The information you submit will be sent to the Della Dickey via email. You will be contacted within 48 hours (Monday-Friday) to confirm the scheduling of your request.
Do not assume that submission of the information via this form guarantees availability of the room.

Requestor Name
  
Telephone Contact Number:
  
Course Number::
  
Course Title:
  
Room and/or Equipment Request Information
Dates Requested
   Semester Request School
Begin Date
End Date
    
Times Requested
   Room Request (Kimball Tower) Approx. Class Size
Begin Time
End Time
    
       
    Room Function Type  
     
       
       
Equipment you would like us to provide (check all that apply):
  Laptop only  
  Laptop with Projector  
  Laptop / Projector / Internet Connection  
  Overhead Projector  
  Slide Projector  
  Slide Projector with Cassette (sync attachment)  
  TV / VCR  
  Microphone  
  Laser Pointer  
       
Additional Requests:
  
   
   
       
     
       
    Please press the submit button only once.     

 

 

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