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Note: To request services in classroom, vistas, or meeting spaces, please use our
Classroom Services Request Form
.
Contact Information
First Name:
Required
Last Name:
Required
Phone Number:
Required
(
)
-
Second part
Third part
E-mail Address:
Required
Affiliation:
Required
UWB faculty
UWB Staff
UWB Student
UW Seattle Patron
not affiliated with UWB
Event details
Event Title:
Required
Location (if the location for your event is not listed below, please use the Classroom Services Request Form):
Required
North Creek Event Center
Promenade (outside of UW1)
UW2 Commons
Promenade (outside of UW2)
CUSP Office (UW1-080)
The Codex (outside of the Library)
Food for Thought
The Truly House
The Chase House
Event Date:
Required
Date and time
Preferred Setup Time:
Event Start Time:
Required
End Time:
Required
Estimated Audience Size:
Required
less than 50
50 to 100
100+
FUAC Number:
Is this event specifically for a UWB credit-Generating Course?:
Required
yes
no
What is the event orientation?:
Required
The audience will face North
The audience will face East
The audience will face West
The audience will face South
Audio Services
Number of Microphones needed:
none
1
2
3
4
Compact Disc (CD) player?:
Connection for another audio device (MP3 player, etc.):
If so, please describe audio device:
Video Services
Please select all media types you plan to display during your event:
DVD
VHS
Paper Documents (Document Camera)
Transparencies (overhead projector)
Computer Services
Please select any computer related video you plan to display:
PowerPoint slides
internet video
computer video files (.wmv,.mpeg,etc.)
computer software
Do you plan to use your own laptop computer for the presentation?:
I'm not displaying laptop video
no, please supply a laptop
yes, I'll use my PC
yes, I'll use my Macintosh
Miscellaneous
Number of Easels Needed:
none
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Will you need paper pads with the easels?:
no
yes
Will you need a podium?:
Required
yes
no
Additional Notes
Are their items not listed that you would like us to provide? Please list below:
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
I understand.
The ability to support this request is dependent upon the availability of I.T. personnel and equipment.:
Required
I Understand
Did You Know?
The UW Bothell campus houses the largest wetlands restoration project in the state of Washington.