WINTERSESSION CLASSROOM REQUEST FORM
Contact Information - All Fields REQUIRED
Name of Person Making Wintersession Classroom Preference Wellesley Email Address (8 character limit) @wellesley.edu Phone Extension Academic Department
Iformation About Event - All Fields REQUIRED Course CRN (Course Reference Number) Course (ex. Math 102) Section (ex. 01) Instructor (first and last names) Course meeting day[s] (ex. MR, TF, MWR) Course Start Time (include a.m. or p.m.) Course End Time (include a.m. or p.m.) Estimated Number of Students Attending
Information About Space - All Fields OPTIONAL List any preferences you have for a specific space or building If necessary, click here for space information Preference 1: Preference 2: Preference 3:
Media & Technology Services/Equipment: (Complete only if you require computing or A/V equipment) We will try to assign you a room that has been fitted with the equipment that you need. For more information on media, visit the Media Services website at: http://www.wellesley.edu/Knapp/Mediaservices/mediaServ.html
1) Do you need a room with computer and projection: No Yes
If so, select platform Windows Mac Doesn't matter
2) Check equipment required:
Audio cassette recorder Audio tape transcriber kit CD player Digital audio tape recorder (DAT) Document Camera DVD player, multi-country DVD player, USA only Laser pointer Laserdisc player Projection screen Projector, film, 16 mm Projector, LCD for VCR or DVD Projector, slide Projector, transparency Record player Television VCR, multi-country VCR, USA only
Additional Information, Comments, or Equipment for Scheduler - OPTIONAL