Request for Projectionist Form

This form is for projectionist requests only. Room reservations must be made separately.

If possible, submit projection requests at least two weeks in advance. Requests received less than 48 hours in advance will be billed at 1 1/2 times the regular rate.

Questions regarding this form or projectionist scheduling and equipment should be directed to the Classroom Services AV Coordinator at 6-2243.

E-mail
Contact Person
Department
Other Department
Campus Address
Campus Zip
Phone
FAX

Program Name
If possible, include details of program schedule
Room
Other:

Projectionist Charges: $17.00 per hour. Minimum charge is 1 and 1/2 hours.

Fund
Organization
Program
SubClass
Budget Yr.
Project/Grant
Shortcode

Only the actual starting times of meetings should be indicated, the projectionist will allow adequate time beforehand for set-up.

Day of Week
Date
Begin Time
End Time
Lunch or Coffee Breaks

Projectionist required to set up and operate the following equipment.

Slide Projector
Dual Slide Projectors
16mm Projector
Overhead Projector
PA System
Table Microphones
Electric Pointer
Audiocassette Record
Audiocassette Playback
Computer Projection
    Dept. Provides: Mac or PC
    LRC Provides: Mac or PC
    PowerPoint: Version
    Network/web browser needed Yes or No
Video Recording ($25/hr + tape)
Video Recording with projectionist (add $10/hr + tape)
    Tape Format:
    Tape Supplied by:
Other (describe)


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