Instructor Contact Information:

Name:

Phone:

Atlas Username or Preferred Email:

Preferred Contact Method: Please Choose Phone Email

Note:  Please allow 48 hours for this request to be processed.  The AV department does not assume responsibility for equipment and services not provided due to last minute Email requests.

Delivery Information:

Date Needed:Delivery Location:

Delivery Time: A.M. P.M. Pickup Time: A.M. P.M.

What Equipment do you need?

Note:  The Classroom Performance System (CPS) REQUIRES a basic computer set-up.

Attachments / Accessories:

Any Special Instructions?  

DVD/CD or VHS title request:

If you need to request a particular title to view in your classroom, please fill out the following information:

Type of Media:       

Media Title:            

LINCC Call Number:

Note:  Students need instructor's signature for title pick-up.