Enhanced Classroom/Lecture Hall Request Form (Print & fax to Scheduling: (732) 932-2578

DEPARTMENT:

SEMESTER:

Course/Section # (one course per form, please):

Title:

Meeting Days/Time:

Campus:

Alternate 1:

Campus:

Alternate 2:

Campus:

Building/Room Requested:
(Assignment not guaranteed)

Maximum Class Size:
(Stop Point)

Instructor:

Phone#:

Email:

Will use the following (please check):

Frequency of use (please check):

___

VCR/Monitor

___ Occasional

___ Daily

___

Laser Disc Player/CD Player

___ Occasional

___ Daily

___

DVD

___ Occasional

___ Daily

___

Visualizer (Lecture Hall only)

___ Occasional

___ Daily

___

Computer Interface screen
from a Laptop PC or MAC

___ Occasional

___ Daily

___

Internet Connection

___ Occasional

___ Daily

___

Slide Projector remote control*
___ one ___ two

___ Occasional

___ Daily

___

16 mm Film Projector*
___ one ___ two

___ Occasional

___ Daily

___

Audio Cassette Player

___ Occasional

___ Daily

___

Personal Response System

___ Occasional

___ Daily

*Instructors who frequently need these pieces of equipment can have access without being scheduled in an enhanced classroom. Many classrooms other than Enhanced Classrooms have VCR/Monitors permanently located in the room. Please call Enhanced Classroom Support staff at 732-445-3612 for assistance.

Please describe briefly how the equipment will be used:

 


NOTE:
There is not need to request an overhead projector since one is on a mobile cart in every regularly scheduled academic classroom.

This Section for Office Use Only:

__________ SMR not available ____________VCR not available

__________ SMR available

Bldg: ______________

Classroom#: ______________

__________ VCR available

Bldg: ______________

Classroom#: ______________

 Revised: 04/7/08