FACULTY CLASSROOM/MEDIA REQUEST FORM

Please fill out the form below with as much information as possible to enable us to better serve your needs. To ensure best service, please complete the form no later than APRIL 15, 2008 if possible.

To check on the media facilities available in campus classrooms, go to http://www.yale.edu/mediaservices/classroom/.

Questions and detailed messages involving classrooms should be directed to Susan Adler.

Questions and detailed messages involving Media Services should be addressed to Pedro Monroy.

SESSION

A June 2 - July 4
B July 7 - August 8
10-week SLI / science (5A/5B) June 2 - August 8
8-week SLI (4 weeks on campus) June 2 - July 25
ELI June 30- August 8


COURSE INFORMATION

Subject Code Course # Course Title

S-

Faculty Last Name
First Name
email address
Office phone
Type of classroom desired Seminar style Lecture hall
If you taught last year, do you want the same classroom again? Yes No Classroom used last year:
Do you have any special location preference? Please describe in detail.

Do you have a special room (i.e., a departmental room) already arranged? Yes No List building & room:
Does your course include evening screenings? Yes No
Specific AV need #1 Specify "Other:"
How often will you need this equipment?
Specific AV need #2 Specify "Other:"
How often will you need this equipment?

**Faculty requesting data projectors are reminded that they must supply their own laptop computers or use a departmental laptop.

© 1997 Academic Computing Services