A/V EQUIPMENT AND SERVICES REQUEST FORM FOR FACULTY/STAFF

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A/V EQUIPMENT AND SERVICES
REQUEST FORM FOR FACULTY/STAFF
College of Nursing: Audiovisual Equipment and Services Request Form For Faculty/Staff
* Indicates required field
Note: Items requested for pickup, please come to the window of the Information Center.
General Information
Requestor:
Phone Number:
Email:
Person Requesting For:
Course Number/Event Type:
Is delivery requested?
Is set up requested?
Delivery location (if applicable):
Equipment leaving building?
Date Needed:
Time Needed:
Return Date:
Return Time (if applicable):
A/V Equipment Request:
Note: Provide title and inventory number(s) when requesting models, posters and/or videos.
Equipment requested:
Laptop
LCD Projector
Digital Camera
Digital Camcorder
Digital Audio Recorder
PowerPoint Wireless Remote
Posters, Videos and Models
Other:
List equipment details, special set-up instruction or other requested services here:
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College of Nursing Mission
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Through a transformational Catholic, Jesuit education, Marquette
University College of Nursing prepares nurse leaders to promote health,
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