Stark Media Services Request

Contact Media Services at 330-244-3572 or 53572 with any questions you have about your event.

Event Name:                                                          
                                             

Event Date:


Building:


Room:


Start Time:


End Time:
  

Event Coordinator:


Coordinator's Office Phone:


Coordinator's Cell Phone:


Student Organizations must complete this section:

Student Organization Name:


Advisor's Name:


Advisor's Contact Phone:
 

In-Person Media Services

Is an audio visual specialist needed at your event?


Yes    

No    

If yes, describe service needed:
 

If yes, what timeframe is the specialist needed?

Video, Audio & Projection Equipment

Check which video, audio and/or projection equipment is needed:


Video Projector    

TV & VCR    

Slide Projector    

Portable Screen    

DVD Player    

Camcorder    

VCR    

Overhead Projector    

Video Recording    

CD Player    

PA System    

Speakers    

Audio Recording    

Microphone Needs:

Wired Podium Microphones - # needed:  

Lavaliere (Lapel) Microphones - # needed:  

Wireless Handheld Microphones - # needed:  

Detail any other media needs you require: