Fayetteville Technical Community College

Media Services Request Form

Please contact Media Services at least 48 hours in advance for technical support at events, plus to discuss your needs for items such as wireless and lapel mics, portable PA systems, portable screens, sound mixers, and video playback. The room functionality chart & technical specifications guide offer information to help you prepare your request for support.

You can ensure successful technical support by submitting this form 48 hours in advance of the event.
Event setup time, for typical events, is usually 45 minutes in advance of the event starting.
Complex set ups that include multiple mics, media playback & production support require you to contact Janan Warren or Joe Frydl to discuss.
Is your event high profile? Make sure you submit this form & discussed with Janan Warren or Joe Frydl.
Do you know Media Services serves all FTCC Campuses?
Facility Services provides podiums & MIS provides laptops via checkout
Would you like to schedule a production project? Contact Janan Warren for project scheduling & assignment. We will get you on the production calendar!

Requested By
First Name:	Enter first name.
Last Name:	Enter last name.
Contact Phone:	Use 000-000-0000 format.
Alternate Phone:	Use 000-000-0000 format.
Email Address:	Enter a valid email address.
Requesting Department:	Enter the requesting department.
Event Information
Event Name:	What is the event's name?
Event Type:	What type of event is this?
Event Purpose:	What is the purpose of the event?
Event Location:	Indoors Outdoors Will the event be indoors or outdoors?
Building:	Select one building location.
	Presenter Advice & Room Functionality (Link opens in new tab or window)
Room Name or Number:	Enter room name or number.
Guest Speakers:	Wll there be guest speakers?
Special Guests:	Names of special guests? Any special guests?
Event Scheduling
Start Date:
Start Time:
End Date:
End Time:
Setup
Setup Date:
Setup Time:	(Usually 45 minutes prior to event)
Tear Down Date:
Tear Down Time :
Technical Questions
Sound System Needed?	Yes No Will a sound system be needed?
Number of microphones needed : How many microphones are needed?
Is a technician needed to operate equipment for the event?
	Yes No Is a technician needed?
Would you like photos taken for this event? Yes
Best time for photos?
Additional Information
Do you have specific play back needs? (Ex: Disc or Thumb Drive)
A value is required.
Are any additional items needed? Ex: Charts & Easels, Digital Camera, DVD Player, Flat Panel Monitor on Cart, Portable Projector, Portable Screen, etc.
A value is required.
Are there any further instructions or information?
A value is required.
	Form doesn't submit? Scroll up & recheck field entries.