Winter Park Campus Library - Valencia Community College

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AV Request Form

To request equipment for classroom instruction or off campus use, please fill out the form found below or come to the Library Room 140 and we will be happy to assist you. Please note that equipment requests need to be made 48 hours prior to event in order to ensure availability, otherwise we cannot guarantee equipment will be available. Any questions please call 407-582-6814.
Please note that digital still cameras need to be picked up from the Library

Your Information

Name:

Instructor Name
* If different than requestor

Telephone:

E-mail:

Event or Class

Audiovisual Information

Specific Dates:

Time:

Room :

Date Needed All term: Yes No
* If needed all term, please specify on what days of the week your class normally meets on the Special Needs or Instructions section.

Type of Equipment:

	Boombox
	Camcorder
	Computer/Laptop
		Floppy Drive CD Rom Drive Internet
	Digital Camera
	DVD Player
	Easel/Flipchart/Paper
	Elmo
	LCD Projector
	Microphone
	Overhead Projector
	Slide Projector
	SmartBoard
	VCR

Special Needs or Instructions:

*Any equipment and/or peripherals damaged during use will be the financial responsibility of the instructor and/or department to which it has been loaned. If you should have any questions regarding this policy, please contact the AV Department Room 140, ext. 6814.