Media Services Form

Media Services Request Form

ECE provides support for special events that require computers, microphones, VCR players, DVD players, and other related media equipment.

Please complete the form below for any media services needed for your activity. ECE can only provide the items listed below. It is the requestor's responsibility to reserve the room and secure chairs, tables, skirting, and other support required.

In order to prepare the equipment, Media Requests must be submitted at least 10 work days prior to the event. For accountability, an NSU employee from the requesting department will be required to sign for the equipment on a temporary moveable property form.

ECE will contact you once your request has been processed. Please note that ECE has limited resources available. Thank you.

Person Requesting Services:

Phone Number:

Email:

Department:

Name of Event:

Event Date:

Event Time:

Event Location:

Number of people attending:

NSU Participants:

External Participants (Please enter zero, if none):

Distinguished NSU or External Participants' names:

Support Required:

Equipment set-up.

Technical support during the event.

If technical support during the event is needed, please explain the specific nature of support required:

Please click the box to the left of the item(s) that you are requesting ECE provide for this event, and identify the number of items in the box provided below the item:

*Please note that some resources are limited.

Laptop Computer and/or DVD player (Individuals requesting a DVD player will be provided with a laptop equipped with an internal DVD drive).

Number of laptop computers and/or DVD players:

Projector

Number of projectors:

Projector Screens

Number of projector screens:

Sound System Support

Please Specify Sound System Requirements:

Wired Microphone

Number of wired microphones:

Wireless Microphones

Number of wireless microphones:

Other/Comments: