Media Services: Schedule AV Equipment

Project Request Form

Your Information Your Name: Requests can only be made by Deans or Department Chairs. Department: Date:

Contact Person Contact's name: Contact's phone: Contact's email:

Project Information

Type of Project Presentation Podium Installation Sound System Installation Instructional Video Recording Other:

Project Location Include Campus, Building and Room Describe your goals: What do you want to achieve with the completion of this project. How will this project impact students and staff at Portland Community College?

Do you need a project cost analysis? Yes No

Do you have resources to cover project cost either full or partial? Yes No