This form is for special requests only, not for regular spring, summer, or fall semester courses.
To submit a technology request for a regular semester class click here.

Scheduling for: Special Request

Date:
Department:
Contact Person: (First name, Last name)
E-mail address: (userid@host)
Phone number:

Instructor (First name, Last name)
Instructor Phone number
Course Number
Section Number(s)
Course Type (LEC, REC, etc.)
Begin Date / End Date (special requests only)
Begin Time / End Time
Days Requested (NMTWUFS)
Estimated Number of Students
Visual Presenter	Yes No
VCR	Yes No
Computer(s) Needed	PC Mac PC and Mac None
CD-ROM	Yes No
Your Portable Computer	Yes No
Equipment Unique to Room - ONLY available in rooms listed below!
Classtalk with Palm - Tops (CW102/CW103)	Yes No
Physics Demo Equipment (CW102/CW103)	Yes No
Slide Projector (JU109/UM105/WA328)	Yes No

Questions/Special Comments: Contact Tim Bagby, tbagaby@ksu.edu or call 532-4919.

Last Updated 02/21/00