Support Services > Classroom Services

Request for Audiovisual Equipment

  You and Your Request  Additional help provided by mousing over item

Subject

Your Affiliation is with: MCG  or  MCG Health Inc.

This Request is:   An Initial Request Change to an Existing Request

Contact Name  
Department
Phone Number
E-mail
Course # / Program Name
 

  When and Where 

Programs that begin before 7:45 AM or end after 4:30 PM may incur additional charges and require a Chart Field Combination number to be provided below.
 
Start Date End Date
   (mm/dd/yyyy)      (mm/dd/yyyy)  
           
       
Start Time  : 

AM PM 		End Time  : 

AM PM
       

Days Required:   Mon Tue Wed Thur Fri Sat Sun

Preferred Building & Room Number (if available):
 [ Required ]

  Equipment Requested

LCD Multimedia Projector
Computer
Television
Wireless Microphone
VHS Player (Standard 1/2)
Document Camera
Internet Access
Portable Audio System
Phone Conference Device
Cassette Player
Laser Pointer
Audio Recording
DVD Player
Podium
Wireless Mouse
Easel and Flip Chart
Microphone
Overhead Projector
Projection Screen
X-Ray Panel
Classroom Performance System
 

  Additional Equipment Information 

Internet Access Point Wall Plate Number

Telephone Access Point Wall Plate Number

Classroom Performance System (CPS) Number of Students in Class

  Billing Information [if needed] 

Campus Department, Chart Field Combination Number (CFC)


MCGHI Department, Billing Information to include Account Number

  Other Requirements or Comments 


  

Please Note: All requests must come through the submission process (not through e-mail). If you receive a submission error instead of the submission confirmation page, please try to re-submit. If you continue to encounter problems contact the IT Service Desk at 1-4000.

Contact Us:
Information Technology Support & Services
1120 15th Street
Augusta, GA 30912
706-721-4000

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