This equipment can only be checked out by LTCC employees and can only be used for LTCC related activities.

To request various media equipment from media services, please complete the following form. If you have any questions, please contact Pat Leonard-Heffner at leonard@ltcc.edu.

*required fields

Contact information

Name:

 *
Email: *
Phone: ext. *(phone OR extension)
Department:
Course #:
Room or location: *

 

Purpose

What is the purpose of your request? Please check all that apply.

Play a CD
Play a DVD
Play a VHS tape
Project video
Record audio
Record video
Show a PowerPoint
   
Show a transparency
Speak to an audience
Other (specify)
 

 

Equipment required

What equipment do you need? Please check all that apply.

Boombox
Cassette recorder
Computer & projector on cart
Digital audio recorder
Digital camera
Laptop
LCD projector
Overhead projector
Screen
Slide projector
Sound system (w/ microphone)
Tripod
TV and DVD player
TV and VCR
Video recorder (camcorder)
Wireless microphone(s) and speakers
Other (specify)
 

 

Other information
 
Do you need internet access?

Yes
No
 
Equipment will be:

picked up by requester
delivered by Media Services (Main campus only)

If this equipment will be used off-campus, please specify where.

Do you need training on any of the equipment requested?

Yes
No

 

Date and time information

Please provide information about when you need this equipment.

Date Needed *   Time Needed: : : *
         
Date of Return *   Time of Return: : : *

Recurring request

If recurring, please explain:

 

Special instructions

Please let us know if you have any special instructions or comments.

By pressing submit, borrower assumes responsibility for the equipment.