PORTLAND
ITMS On-line Classroom Equipment Request
On-line requests must be made at least 24 hours before needed!

Faculty/staff name
Requestor name (if different from above)
Your e-mail address
Your phone number
Room and building where needed
Course number (event)

If single request, enter date needed:

Standing order
Monday Tuesday Wednesday Thursday Friday Saturday Sunday

check days of week needed and enter beginning and ending dates
Beginning date:
Ending date:
Start time
End time


Video playback
Close caption option needed?
Slide projector
Easel
Portable screen
Boom box (CD player)
Microphone

Amplifier
Tape recorder
Overhead projector
Computer + data projector
Identify the computer application you plan to use
Data projector only

 Notes: