Media Services Online Request Form

Requests must be submitted at least by 12 noon every Friday for the following week (Monday-Saturday).
Special needs require more time, and should be made known as soon as possible.
Any questions, contact Tom Vesci or Ben Durant

Name *

E-Mail *

Phone # *

Start Date *

Month

Day

Year

End Date *

Month

Day

Year

Deliver Time *

Pickup Time *

Room Number *

Using Smart Workstation in room?

COW

TV/VCR

TV/DVD

Overhead

SmartBoard

Projector without computer

Do you want to shown how to use the equipment?

Do you need an operator to run the equipment?

Attach a file

Comments

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Asnuntuck Community College does not discriminate on the basis of race, color, religious creed, age, gender, gender identity or expression, national origin, marital status, ancestry, present or past history of mental disorder, learning disability or physical disability, political belief, veteran status, sexual orientation, genetic information, or criminal record. The following individuals have been designated to handle inquiries regarding the non-discrimination policies: Cheryl Cyr, Title IX Coordinator, ccyr@asnuntuck.edu (860) 253-3045 and Maki McHenry, Section 504/ADA Coordinator, mmchenry@asnuntuck.edu (860) 253-3021, Asnuntuck Community College, 170 Elm Street, Enfield, CT 06082.

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