Classroom Services Request

Information Technologies

Note: To request services in the Northcreek Events Center (NCEC), please use the Event Services Request Form.

Contact Information First Name: Required

Last Name: Required

Email Address: Required

Phone: Required

() -

Affiliation?: Required

Class location Building: Required

Room Number: Required

Event Scheduling Details Course#: Required

Class Date: Required

Start time? (include am/pm): Required

End time? (include am/pm): Required

Is this request reoccuring?: Required

yes
no

Days this class reoccurs?: What is the last day of the reoccurance:

Equipment Details Do you require training on the ePodium?:

no
yes

Equipment: Required

Quantity: Required

will you need training assistance with this equipment?:

yes

Equipment:

Quantity:

will you need training assistance with this equipment?:

yes

Equipment:

Quantity:

will you need training assistance with this equipment?:

yes

Equipment:

Quantity:

will you need training assistance with this equipment?:

yes

Additional Comments:

Please Acknowledge You should not consider your request as "completed" until you receive an official confirmation email from an I.T. staff person. If you do not receive an official confirmation email at least five business days prior to your event, call I.T. immediately.: Required

The ability to support this request is dependent upon the availability of I.T. personnel and equipment.: Required

Did You Know?

UW Bothell is the largest branch campus in the state of Washington.

Information Technologies

18115 Campus Way NE
Bothell, WA 98011-8246

Phone: 425.352.3456
Fax:
TDD: 425.352.5303
Email: it@uwb.edu