Employees • Audio-Visual Equipment Request Form

Media Services Department
Midland College, 3600 N. Garfield, FLRC-224
Midland, TX 79705
Phone: (432) 685-4553 • Fax: (432) 685-4721
Email: lisaacs@midland.edu

 • Media Services lends equipment on a 'first come, first served' basis. It is best to reserve equipment AT LEAST
   TWO WEEKS
in advance. There are no guarantees for equipment requested less than a week in advance.

 • All possible efforts will be made for equipment to be set 30 minutes before Event Start Time.

PLEASE SELECT OPTION

Self-Serve
Delivery & Pick-up by Media Staff

PLEASE SELECT THE EQUIPMENT NECESSARY FOR YOUR EVENT

Multiple Choices Allowed:
Wireless Internet
Laptop - PC
Podium
Projection Screen
Projector - LCD
Projector - Overhead
Projector - Slide (35mm)
Audio Speakers

 
CD Boombox
CD Player
Laser Disc Player
DVD Player
VHS Player
Media Cart
Video Camera
Digital Camera

Speaking Microphone Required?
No
Yes, Hand-held
Yes, Lapel
NOTE: Media Dept. will determine:
• if location has equipment capabilities
• if event requires sound reinforcement
• if staff available to provide service

PLEASE ANSWER THE FOLLOWING TO HELP IDENTIFY EQUIPMENT NECESSARY FOR YOUR EVENT

Laptop computer required?
Yes, a PC
No, will provide own PC
No, will provide own Mac
Do you need a Mac adapter?
No
Yes
If "Yes," which Mac?

Presentation includes?
Overhead transparencies
Display paper documents
Display 35mm slides
Play VHS tape
Play DVD
Play CD
Audio clips
Audio-video clips

PowerPoint presentation?
No
Yes
If "Yes," what storage device for presentation?
Personal Laptop
External Hard Drive
Thumb Drive
DVD
CD
University Network Drive

EVENT INFORMATION

Event Name:

Location:

Event Date:

Start Time:

End Time:

CUSTOMER INFORMATION

First Name:

Last Name:

Phone Number:

Email Address:

MC Affiliation:
Administrator
Faculty
Staff
Student
Community
None

ADDITIONAL INFORMATION YOU WISH TO PROVIDE

     

av request Midland College Media Services Department

For more information, contact:
Lesley Isaacs, Multimedia Promotions Coordinator
LRC224 • (432) 685-4553
lisaacs@midland.edu