AH1120 Request Form

Note: You may call 594-5727 to check availability of the room prior to submitting this request; however, reservations may not be made by telephone. Requests will be considered based on established priorities. Reservations may be cancelled with three weeks notice if a higher priority request is received.

Your reservation has NOT been finalized until you receive confirmation from an ITS staff person. A reservation may be bumped by a higher priority request up to three weeks before the event. See Priorities of Usage

1. Instructor Information

First Name Required Question

Last Name

Department Required Question

Email Address Required Question

Phone Number Required Question

2. Course/Event Information

Course Number/Event Description Required Question

Date Needed (MM/DD/YY) Required Question

Start/End Times

You have 5 minutes before and after your event for arrival/set-up and clean-up/departure. If you require more time, please add it into your request.

From
To

Is the event a teleconference?

YesNo

If "Yes", you must contact CCTV Scheduling at 594-6011 to arrange for reception of satellite signal and/or videotaping.

3. Outside Attendance

Will persons other than SDSU students, faculty or staff attend the event? Required Question

	Yes
	No

If "yes," please explain

4. Attendance Fees

Will anyone be charged a fee for attending the event? Required Question

	Yes
	No

If "yes," please explain.

5. Equipment Needed

What equipment in the Presentation Room will you be using? (Check all that apply.)

If you will be using your own equipment, please list all items here:

6. Control Panel Training

Have you been trained to use the Control Panel system? Required Question

	Yes
	No

Available Equipment
	Video/Data Projector
	Macintosh
	PC
	Ethernet Connection
	Document Presenter
	VHS/DVD Combo Player
	Overhead Transparency Projector (Upon Request)
	35mm Slide Projector (Upon Request)

San Diego State University Instructional Technology Services

AH1120 Request Form