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Computer Classroom Request Form
Educational Technology Resource Center | DoIT

This form should be used only by instructors to submit special requests for the use of a computer classroom during the semester. It should not be used to submit requests for full-semester assignment of computer classrooms, which are handled through the Registrar's office -- instructors should submit those requests through their department chairs or deans. For more information see the General Policies and Procedures page.

*required
Requestor Information
*First name
*Last name
*Department
Title:
*Daytime phone
*E-Mail
  
Campus

(allow at least a 1-week notice)

Chicago  Gage Building Schaumburg
 
Date(s) Needed

(if this is a one-time request, please fill in the dates in the "Comments" box):

Term:  Year:
Course and Time(s) Needed:
Room where needed (if known):
 
 
Comments

 

 

Software to be used

(check all that apply)
Microsoft Office SPSS  FrontPage 
Internet Explorer MS Visual Studio  Derive 
Quark Express (Gage 507, 509 Robin 712) 
Other (explain below-you must provide us with the software & license/doc. before the request can be approved)
 
Required: Please indicate what type of Internet access you require.
(click here for more information)
Internet access
Internet and Banner and BSR
None
 
 
Other Information/Special Needs

(technical support, etc.):

DoIT | Educational Technology Resource Center

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