Occasional Use

If you require a computer lab for occasional use, please fill in all of the spaces below for the course requested. You may request up to 4 dates/times on this form. If you require additonal dates/times, you will need to fill out another form.

Please do NOT use the fields below to supply alternative dates as computer labs will be reserved for all of the dates requested.

If a lab is not available on the date(s) requested, you will be contacted.

Instructor's First Name**

Instructor's Last Name**

Department Name**

Instructor's Email**

Course Name/Event Name**

Course Number**

Course Section**

1st Date** Start Time** Ending Time**

2nd Date Start Time Ending Time

3rd Date Start Time Ending TIme

4th Date Start Time Ending Time

1st Choice Room Requested**

2nd Choice Room Requested

Number of Computers needed**

If you require software other than MS Office 2007 or MS Office 2003 (which includes Word, Excel, PowerPoint, and Access) or Internet access, please list the software in the "Technology Required" field below.

Technology Required

** Required fields

Requests received by 12PM on any business day will be responded to by 12PM the following business day.