Request Videos

 This request form is for Instructors who would like to show media in the classroom. Please allow 24 hours for confirmation of your request. If you have not received a confirmation within 24 hours, please contact Media Services at 224-3302.

Full Name:   
Phone:
Email:
Division:

Item Information (list up to three)

Title:
Call Number:
Format: DVD      VHS      CD-ROM
Title:
Call Number:
Format: DVD      VHS      CD-ROM
Title:
Call Number:
Format: DVD      VHS      CD-ROM

Logistics

Date(s) Needed:
Campus:
Delivery: Send to IMR
Will Pick-Up
Mail Inter-Office
Other (please describe below)
If you would like us to order equipment (TV, VCR/DVD Player, etc.) for the classroom, please complete the following:
Building:
Room Number:
Show Date(s):
Class Time(s):

Comments


Please contact me as soon as possible regarding this matter.

Please Note: Submitting this request only confirms that your request has been sent. We will try to notify you within 24 hours to confirm your request. If you have questions, please call 224-3302.