This form has moved The new location for this form is https://etcentral.pepperdine.edu/#/form/134. Please update your bookmarks accordingly. Information Technology Drescher Campus Audio Visual Request Description: This form is used by faculty, students, and staff to request audio-visual assistance from Drescher Tech Support at the Drescher Graduate Campus. Notes: Hours of Operation 7:00am to 7:00pm Monday � Friday (Academic Year) 7:00am to 6:00pm Monday - Friday (Summer) Location LC 162 (Computer Lab) Responsible Person: Required Phone: Required Email: Required invalid format Supervisor Email: Required invalid format Department or Major: Required School: Select one... Graduate School of Education and Psychology Pepperdine Graziadio Business School School of Law School of Public Policy Seaver College None Required Role of Responsible Person: Faculty Student Staff Faculty / Staff Sponsor's Name Required Faculty / Staff Sponsor's Email Required invalid Faculty / Staff Sponsor's Phone Required Equipment Needed: Date: Required Time: Select one... 8:00 AM 8:30 AM 9:00 AM 9:30 AM 10:00 AM 10:30 AM 11:00 AM 11:30 AM 12:00 PM 12:30 PM 1:00 PM 1:30 PM 2:00 PM 2:30 PM 3:00 PM 3:30 PM 4:00 PM 4:30 PM 5:00 PM 5:30 PM 6:00 PM Required Return: Date: Required Time: Select one... 8:00 AM 8:30 AM 9:00 AM 9:30 AM 10:00 AM 10:30 AM 11:00 AM 11:30 AM 12:00 PM 12:30 PM 1:00 PM 1:30 PM 2:00 PM 2:30 PM 3:00 PM 3:30 PM 4:00 PM 4:30 PM 5:00 PM 5:30 PM 6:00 PM Required Event Name: Event Location: Building Required Room Required Quantity of Items Requested: 0 1 2 3 4 5 Wired Microphone (please choose stand type) 0 1 2 Wireless Microphone (please choose stand type, Note: includes wireless receiver box) 0 1 2 Wireless Lavalier Microphone (Note: includes wireless receiver box) 0 1 2 3 Microphone Boom Stand 0 1 2 3 4 5 Microphone Tabletop Stand 0 1 Portable Projector (Note: This may not be needed as most rooms have a built in projector) 0 1 VGA Cable (Note: If possible you should get this from your schools front desk or the villa) 0 1 Laptop Computer (Available to Faculty & Staff Only) 0 1 Presentation Remote (aka Powerpoint clicker) Additional Equipment: (list any additional equipment requests here. Limited to 1000 characters) Exceed 1000 characters Comments & Special Needs: (limited to 1000 characters) Comments Exceed 1000 characters Chartfields: Business Unit: invalid Fund: invalid Dept ID: invalid Account: invalid Class: invalid Program: invalid Product: invalid Project: Operating Unit: invalid If you do not know your chartfields, please consult your budget manager. Agreement: Equipment is not reserved until you receive a confirmation call or Email. Equipment check-out and return: Monday thru Friday, 8:00 a.m. to 5:00 p.m. only. One week advance notice is needed for request processing and reservation of equipment. Equipment check-out only at Malibu campus and as long as equipment is available. University equipment must remain on the Malibu campus. Departments must approve check-out for students, student organizations, and campus visitors. Equipment is not for personal use. University equipment training is available from Drescher Tech Support by appointment. Equipment setup is available for some large-scale University events and academic engagements as Drescher Tech Support schedule allows. Three weeks advanced notice is generally needed to accommodate staffing requests for such events. Presenter is expected to meet with technician at appointed time (typically 30 min prior to start) to conduct a test run for staffed events. Client is required to notify check-out personnel of any problems with equipment upon return. Contact University Communications for video conversion/duplication. Charges may be levied for any of the following: staffing; late equipment return; and damaged, lost or stolen equipment. Drescher Tech Support office is open from 7:00 a.m. to 7:00 p.m. Monday through Friday during the academic year and 7:00 a.m. to 6:00 p.m. Monday through Friday during the summer. All equipment checkouts are by appointment only. Drescher Tech Support is located in the Drescher Learning Center within the Computer Lab below the Library. Changes to a request will not be accepted 72 hours prior to the event. I have read and agree to the terms listed above and am fully liable for any damages or loss of any equipment Please read agreement above