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On-Campus Request Form

*Email Address: Off-Campus Visitor Form
Enter your first and last name along with your office phone extension.
*First Name:   *Campus Phone:  
*Last Name:       Other Phone:  

Note: All Delivery orders pending approval. Instructors will be notified via email.
No changes 24 hours prior to event.
Start Date:
*Date Needed:
Orders for Entire Semester (Pending Approval)
<< Enter Start Date in Date Needed on the Left

End Date :  
Days Mon Tue Wed Thr Fri Sat Sun
*Start Time:     

End Date:
*Return Date: 

*End Time:  

  Room Functionality Chart
*Work Area/Bldg.:          Room Number (# only):  

Charts & Easels Portable Projector
DVD Player Portable Screen
Flip Cam Other
PA System (1 mic, 2 speakers, 1 amp) Advanced Set-Up (specify in Notes)

Apple Users: Do you have...
Apple Specific Cables? Did you bring them? Do you need them from us? If so, which cables?
A Thumb Drive (aka: Flash Drive, Memory Stick, Jump Drive)
CD (finalized) / DVD (finalized)  
Microsoft Office    

Additional Resources:  (Media Services DOES NOT PROVIDE Laptop's for  Check-Out)

* Contact MIS at x88502 or help@faytechcc.edu for:
   Laptop and computer speaker checkout
   Guest login/passwords, Wireless connection

* Contact Housekeeping at x88228 or treadwec@faytechcc.edu for:
   Podiums Contact

* Contact Maintenance at x88228 or treadwec@faytechcc.edu for:
   Drop cords/Extension cords/Power

Notes: If necessary, list required video/audio/software or additional instructions:

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