Media Services Request Form

eLearning provides support for select special events that require media services.

Please complete the form below for any media services needed for your activity. eLearning can only provide the items listed below. It is the requestor’s responsibility to reserve the room and secure chairs, tables, skirting, and other support required.

In order to prepare the equipment, Media Requests must be submitted at least 10 work days prior to the event. Requests not submitted in a timely manner may cause your event to NOT receive eLearning support. For accountability, an NSU employee from the requesting department will be required to sign for the equipment on a temporary moveable property form.

eLearning will contact you once your request has been processed. Please note that eLearning has limited resources available.

This Request Form is to be filled out by Faculty/Staff only. NO exceptions. Natchitoches campus events only. Thank you.

    Has the Event Location been reserved and keys acquired to lock/unlock the area? (eLearning does not reserve spaces. This is solely the responsibility of the individuals hosting/organizing the event).

    YesNo

    Number of people attending:

    Support Required

    Equipment set-up.Technical support during the event.

    Please click the box to the left of the item(s) that you are requesting ECE provide for this event, and identify the number of items in the box provided below the item (*Please note that some resources are limited):

    Laptop Computer and/or DVD Player. (Individuals requesting a DVD player will be provided with a laptop equipped with an internal DVD drive).

    Projectors

    Projector Screens

    Sound System Support

    Wired Microphone

    Wireless Microphone

    Other/Comments