Lewiston-Auburn College

Classroom Equipment Request Form

To request Media equipment for classroom use, please complete the following form and click "SUBMIT". NOTE: Please call the Library at 753-6540 for same-day AV equipment needs.

Please TAB or click between each field, DO NOT PRESS ENTER or RETURN.
Required fields are indicated by "*". For questions or problems please contact the library at 753-6540 or EMAIL US

Students: Please fill out the proper authorization form to use video cameras and other equipement that are listed seperately below. A link to the form is provided. Please PRINT this form and and return to the library to place a reservation.

Requestor Information

STUDENTS ONLY: Please provide instructor's name:
First Name* Last Name*
Beginning Date* Ending Date*
Beginning Time* Ending Time*
Days (If more than one day)    
NOTE: For semester long reservations please indicate any dates NOT needed in ADDITIONAL NOTES box below  
Room Number*
Phone Number* Email Address
Status*    

Additional notes

Equipment Needed:

Please select what equipment you will need from the following list. Seperate days needs should be submitted online as a separate request/form) You may view a picture of most of the equipment listed below by clicking on the item's name.

Computer for classroom use portable overhead projector
TV w/VCR two slide projectors on one cart
TV w/DVD filmstrip projector
overhead projector stereo w/ turntable
one slide projector    
tape recorder    
16mm film projector    
stereo for CDs or audiocassettes    
whiteboard    
flip chart    
       
Polycom/video conferencing Room 106    
Polycom/video conferencing Room 283    
       

The following list of equipment requires students to complete a seperate form. Please print the form, complete it and return the form in person to the library. The equipment will then be reserved for use or signed out at that time.

camcorder (VHS-C)
camcorder (VHS)
camcorder, digital
digital camera
 FLIP Video camera

portable video projector