Skip Navigation
Phone directory
*To search for student contact information, login to FlashLine and choose the "Directory" icon in the FlashLine masthead (blue bar).

Media Services Request Form

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:
      

 
Text Only Options

Top of page


Text Only Options

Open the original version of this page.

Usablenet Assistive is a UsableNet product. Usablenet Assistive Main Page.