Your Name * Department/Council Your Email * Course/Program Number of Participants Date Needed Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20172018201920202021 Time Needed Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm Special Scheduling Requests or Recurring Events Services Schedule OPT Test Filename(s), Date(s), and Time(s) Enter all filenames and dates/times for their administration. Testfile Server Location Schedule Other Assessment Description Put Item on Reserve at CLS What will be put on reserve and for how long? Who should have access to it? Who owns the material? If the item is from the CLS library, note the call number. Description Technical Support (Including Recording) at Event/Presentation Note when and where the event will be held and describe in detail the support you will need. Description Other Services Use the box below to request services not mentioned in this form. Description Equipment Loan Items for Loan Digital Video Camera Webcam MP3 Player-Recorder Tripod Pocket Camcorder Audio Recording Equipment Other Describe the equipment you wish to borrow, if not listed above. Description Use this form to request services or equipment from the CLS.