Media Services Reservation Request Form

Please use the form below to submit requests for Media Services equipment or services. Instructors may check out the equipment from Media Services front desk, or may request that staff deliver these items, at no charge, to campus classrooms and departmental (not individual) offices. Instructors who need additional assistance may also request a staff operator.

Equipment reservations may also be made in person,or over the phone (541.346-3091). Requests for equipment/operators should be received no later than 2:30pm of the business day before the event or class.

Equipment pick up reservations are subject to cancellation one hour after the scheduled pick up time.

Media Services provides equipment only for UO CRN classes or projects. All other requests should be submitted to EMU Event Services (541.346-3087).

Name:
E-mail:	*You must include a valid email address
Phone:
Course name/Number: Example: ENG 121
Dept.:

Start date
Start time of class or event:	:
End date?
End time:	:

Equipment: (Please check the campus classroom to see if equipment is installed before completing this request.)

Other equipment requested: (see List of equipment)

Check this box if you need a technician to help set up the equipment.

Delivery/pickup: Media Services will deliver portable equipment to classrooms if the person requesting or using equipment can be met in the room at requested time. As an alternative, the material can be delivered to a departmental office.

Please deliver to: .
Please pick up when class is over.
I will pick up from and/or return to Media Services.

Comments:

Please note: Submission of this form does not guarantee equipment availability. Please allow processing time, then confirm your booking by viewing your patron record in Janus.

Return to Classroom Technology Services

Maintained by: Stacy DeHart, mediasvc@uoregon.edu
Last Modified: 01/09/2008