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Technology/Media Request Form
Select Your Name
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Abernathy, Mr. Clayton
Adams, Mr. James
Adamson, Mrs. Shayla
Allen, Elizabeth
Allen, Mr. James
Allen, Mr. Steve
Almstrom, Christina
Alvarez, Ms. Hope
Andary, Mrs. Jennifer
Anderson, Dr. Chalon E.
Anderson, Mrs. Joyce
Arney, Ms. Jacque
Atkins, Dr. LaDonna
Baker, Dr. Kelly
Barker, Dr. Debbie
Barnes, Dr. Karen
Beasley, Dr. Stewart R.
Beauchamp, Ms. Stephanie
Beliele, Ms. Laressa
Bendick, Dr. Debbie
Benear, Ms. Monica
Bertram, Dr. Glee
Black, Dr. Judith
Blakley, Ms. Cathy
Blauser, Ms. Bonnie
Bogner, Dr. Len
Brandeberry, Mr. Joshua
Bray, Mr. Christopher
Brown, Dr. Kathy
Bryan, Mr. Brett
Buthion, Denise
Campbell, Dr. Tim
Cassel, Dr. Darlinda
Cesar, Dr. Dana
Chandler, Dr. Rita
Cherry, Ms. Gerry
Christopher, Ms. Nicole
Cobb, Dr. Donna
Coldren, Ms. Melanie
Cole, Mr. Donald
Collins, Dr. Ed
Collins, Dr. Julie
Collins, Ms. Nikki
Colombe, Ms. Debra
Cone, Dr. Trey
Conley, Ms. Becky
Corwin, Dr. Jay
Cottle, Dr. Nate
Couts, Dr. Pat
Cowan, Mr. Jerel
Cowan, Mrs. J. Sunshine
Cox, Mrs. Melissa A.
Cox, Ms. Farah
Coy, Ms. Sherrell
Cummings, Janice
Cuneo, Ms. Jennifer
Cunliff, Dr. Ed
Dabney, Mr. Eric
Davidson, Ms. Carol
Davis, Dr. Rebecca
Davis, Ms. Karen
Dearing, Mr. Bill
Delano, Dr. Robert
Dennis, Mrs. Judy
Devenport, Dr. Jill
Dill, Ms. Danielle
Doan, Dr. Rob
Douglass, Ms. Jane
Duke, Dr. Bryan
Duncan, Ms. Judy
Early, Ms. Deborah
Echols, Dr. David
Edwards, Rod
Elliot, Ms. Sky
Ellis, Mr. Jazz
Endicott, Dr. Jennifer J.
Evans, Dr. Cheryl
Evans, Mr. Terry
Faaborg, Mrs. Becky
Farnell, Dr. Greg
Fent, Ms. Darla
Findley, Mr. Dean
Fluhr, Ms. Janene
Franz, Ms. Rachelle
Fraser, David
Frederickson, Dr. Bill
Friess, Mrs. Faye
Fuller, Mrs. Susie
Garcia, Ms. Lea Ann
Gaston, Ms. Roberta
Gonterman, Andrea
Gray, Dr. Michelle
Green, Dr. Barbara
Green, Dr. Malinda
Gregory, Ms. Kristen
Grellner, Dr. Janelle
Guard, Mr. Michael
Hamlin, Dr. Mark
Hammond, Dr. Fred
Hansen, Bonnie S.
Harsha, Dr. Kacy
Hart, Ms. Janet
Hassell, Mr. Harden
Haulman, Dr. April
Haxton, Dr. Paul
Hedinger, Mrs. Lori
Helton, Ms. Tina
Higa, Keith
Holmes, Dr. Tawni
Holmes, Laura
Holmes-Krober, Ms. Angela
House, Mr. Paul
Howard, Mr. Gary
Huddleston, Mr. Gary
Hutchison, Ms. Petra
Jackson, Dr. Diane H.
Jackson, Ms. Teresa P.
James, Dr. Regenia
Jimison, Dr. Lorraine
Jones, Dr. Freeta
Kabriel, Ms. Nancy
Kearns, Dr. Donna
Kearns, Dr. Gayle A.
Khalili, Mrs. Zahra
King, Ms. Deann
Knapp, Amber
Kness, Dr. Darlene
Knight, Dr. Mike
Kuzminski, Dr. Pam
Lack, Dr. Caleb
Lacy, Mr. Robin H.
Lemon, Ms. Amanda
Lenker, Ms. Katie
Lewis, Mr. Larry
Limke, Dr. Alicia
Lopez, Ms. Regina
Lovett-Kime, Ms. Cheryl
Macey, Dr. David
Machell, Dr. James
Maddox, Dr. Eleanor
Maddy, Dr. Mark
Mastell, Ms. Kelley
Mather, Dr. Robert
McAdoo, Mr. Scott
McCarthy, Ms. Shannon
McKaig, Dr. Mike
McKenzie, Ms. Kay
McKibbin, Mr. Jeff
McLaughlin, Dr. Scott
McLemore, Ms Susan
Messick, Ms. Carolyn
Meyers, Mrs. Karen
Miller, Dr. Susan
Monfort, Dr. Mary
Montgomery, Ms. Sarah
Morton, Ms. JoAnn
Morton, Ms. Nancy
Moss, Mr Kirby
Muhamedagic, Mr. Amel
Murphy, Dr. Annette
Myles-Nixon, Dr. Charlotte
Necco, Dr. Joanne
Nelson, Dr. Frank W.
Nelson, Dr. Mike
Olson, Ms Christy
Osborn, Ms. Barby
Owens-DeLong, Dr. Dana
Paulsen, Mr. Doug
Pickens, Mr. Thomas
Pink, Dr. Bill
Pittman, Ms. Cecilia
Popplewell, Ms. Susie
Powers, Dr. Don
Powers, Dr. Melissa
Quigley, Dr. Kim
Rains, Ms. Emily
Redus, Dr. Brady
Reed, Dr. Doug
Reynolds, Dr. Anita
Reynolds, Ms. Rebecca
Reynolds, Ms. Sheila
Reynolds, Ms. Vicki
Riggins, Mrs. Amy
Riggs, Ms. Helen
Rittner, Ms. Linda
Rooker, Dr. Jill
Rose, Ms. Tracy
Runge, Ms. Janet
Rupp, Mr. Gabriel
Ryel, Joyce
Ryland, Mrs. Shelley
Salkeld, Mrs. Lisa
Schlinke, Ms. Tiffany
Scoggins, Mr. Bill
Scott, Dr. Susan
Sears, Dr. Kaye
Sebert, Dr. Candy
Shadid, Mrs. Gloria G.
Sharp, Ms. Gwenda
Shreck, Dr. Paulette
Sielert, Ms. Lisa
Simmons, Mr. Wendell D.
Singleton, Dr. Scott
Smith, Ms. Cristy
Snider, Ms. Gayle
Snyder, Ms. Gay
Spigner, Dr. Terry E.
Sprung, Dr. Douglas C.
Stinnet, Ms. Tessa
Stowe, Ms. Pat
Suchy, Mr. Kyle
Summers, Ms. Stacie
Sunderland, Mr. Ed
Sweet-Darter, Dr. Mary
Teague, Ms. Becky
Terrell, Ms. Karrie Jo
Thomas, Ms. Kimberly
Tilford, Ms. Dana
Todd, Ms. Keli
Traywick, Dr. Debra
Tuepker, Ms. Jan
Turner, Dr. Dana
Vanhoy, Dr. Mickie
Villani, Dr. Shari
Vincent, Dr. Daniel
Wakefield, Dr. Judith
Walderbach, Ms. Becky
Wallis, Ms. Karen
Ward, Ms. Sherry
Waters, Dr. Marilyn B.
Webster, Dr. Kirk
Wetsel, Dr. Jan
Whaley, Linda
Wilhelm, Ms. Laura
Williams, Ms. Jennifer
Wise, Ms. Tiffany
Woods, Kristin
Youll, Dr. Lorry
Your Information
* First Name
You must be a current CEPS instructor, administrator, or staff member to use this form.
* Last Name
* Email
* Ext.
Office
Dept.
ADM
APS
CIED
HES
KHS
OTE
PSY
PTE
SPS
OTHER
* Required
When, Where, and for How Long?
Class Period
8:00 - 8:50 am
9:00 - 9:50 am
9:00 - 10:15 am
9:30 - 10:45 am
10:00 - 10:50 am
10:30 - 11:45 am
11:00 - 11:50 am
11:00 - 12:15 pm
12:00 - 12:50 pm
12:00 - 1:15 pm
12:30 - 1:45 pm
1:00 - 1:50 pm
1:30 - 2:45 pm
2:00 - 2:50 pm
2:00 - 3:15 pm
3:00 - 3:50 pm
4:00 - 5:15 pm
4:15 - 5:30 pm
4:30 - 7:15 pm
5:30 - 6:15 pm
5:45 - 7:00 pm
6:00 - 7:15 pm
7:30 - 9:20 pm
7:30 - 10:15 pm
on
or
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AM
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on
End
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05
10
15
20
25
30
35
40
45
50
55
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AM
PM
on
Location
(Room #)
Room Not Listed - Specify Below
No Room
EDU 101
EDU 102
EDU 106
EDU 110 (Lab)
EDU 111
EDU 112 (Lab)
EDU 113
EDU 115 (Auditorium)
EDU 203
EDU 204
EDU 206
EDU 208
EDU 210
EDU 211 (ITC Office)
EDU 212
EDU 213e (Dean's Conference Room)
EDU 214
EDU 221 (Admin Offices)
EDU 223 (CTS Workroom)
EDU 301
EDU 302
EDU 303
EDU 304
EDU 305 (Counseling Center)
EDU 306
EDU 307i (Counseling Center)
EDU 307j (Counseling Center)
EDU 307k (Counseling Center)
EDU 307l (Counseling Center)
EDU 307m (Counseling Center)
EDU 307o (Counseling Center)
EDU 307p (Counseling Center)
EDU 308
EDU 309 (Physio Lab)
EDU 310
EDU 311
EDU 312
EVH 007 (Evans Computer Lab)
HES 100 (HES Offices)
HES 104
HES 106
HES 113
HES 200 (OTE Offices)
HES 201
HES 204
HES 206 (HES Computer Lab)
HES 208
HES 209
HES 211
HPE 012 (Health & PE Bldg)
HPE 014 (Health & PE Bldg)
HPE 016 (Health & PE Bldg)
WAH 100 (Wantland Hall)
WEL 127 (Wellness Center)
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Repeat Every:
Sun
Mon
Tues
Wed
Thurs
Fri
Sat
Until:
What items are you requesting? (Be specific!)
List of Available Equipment
Item 1
Laptop Computer
TV/DVD Combo (On Cart)
TV/DVD&VCR Combo (On Cart)
TV/VCR Combo (On Cart)
Audio Cable (PC Sound)
CD/Tape Player
Digital Camera (Canon PowerShot)
Digital Camera (Sony Mavicas)
Document Camera (Digital Visualizer)
Headphone Kit (Set of 30)
Laser Pointer
Media
Memory Card Reader/Writer
Microphone for Classroom - Handheld (EDU 101, 102, 115 Only)
Microphone for Classroom - Lapel (EDU 101, 102, 115 Only)
Microphone Kit (Set of 30)
Misc. Item (Describe in Note Section)
Mobile Lab (User must be on "Trained" list)
Multimedia Projector
Overhead Projector (OHP)
Portable OHP (Overhead Projector)
Portable PA (Public Address System)
Portable Projection Screen
Power Cord/Power Strip
Presentation Remote
Reminder! / Special Note! (ITC Use Only)
Remote (for NEC Projectors in Classrooms)
Slide Projector
Speaker (for Audio Amplification)
Tablet PC Lab (User must be on "Trained" list)
Tape Player (Audio Cassette)
Tripod
USB Hub
VCR Only (for 'Local' Video using Projectors in Classroom)
VGA Cable
Video Camera (VHS - Not Digital)
Video Splitter (Dual Monitor Adapter)
ViewStation (Polycom)
Wireless Mouse & Keyboard Kit
Item Not Listed
Item 2
Laptop Computer
TV/DVD Combo (On Cart)
TV/DVD&VCR Combo (On Cart)
TV/VCR Combo (On Cart)
Audio Cable (PC Sound)
CD/Tape Player
Digital Camera (Canon PowerShot)
Digital Camera (Sony Mavicas)
Document Camera (Digital Visualizer)
Headphone Kit (Set of 30)
Laser Pointer
Media
Memory Card Reader/Writer
Microphone for Classroom - Handheld (EDU 101, 102, 115 Only)
Microphone for Classroom - Lapel (EDU 101, 102, 115 Only)
Microphone Kit (Set of 30)
Misc. Item (Describe in Note Section)
Mobile Lab (User must be on "Trained" list)
Multimedia Projector
Overhead Projector (OHP)
Portable OHP (Overhead Projector)
Portable PA (Public Address System)
Portable Projection Screen
Power Cord/Power Strip
Presentation Remote
Reminder! / Special Note! (ITC Use Only)
Remote (for NEC Projectors in Classrooms)
Slide Projector
Speaker (for Audio Amplification)
Tablet PC Lab (User must be on "Trained" list)
Tape Player (Audio Cassette)
Tripod
USB Hub
VCR Only (for 'Local' Video using Projectors in Classroom)
VGA Cable
Video Camera (VHS - Not Digital)
Video Splitter (Dual Monitor Adapter)
ViewStation (Polycom)
Wireless Mouse & Keyboard Kit
Item Not Listed
Item 3
Laptop Computer
TV/DVD Combo (On Cart)
TV/DVD&VCR Combo (On Cart)
TV/VCR Combo (On Cart)
Audio Cable (PC Sound)
CD/Tape Player
Digital Camera (Canon PowerShot)
Digital Camera (Sony Mavicas)
Document Camera (Digital Visualizer)
Headphone Kit (Set of 30)
Laser Pointer
Media
Memory Card Reader/Writer
Microphone for Classroom - Handheld (EDU 101, 102, 115 Only)
Microphone for Classroom - Lapel (EDU 101, 102, 115 Only)
Microphone Kit (Set of 30)
Misc. Item (Describe in Note Section)
Mobile Lab (User must be on "Trained" list)
Multimedia Projector
Overhead Projector (OHP)
Portable OHP (Overhead Projector)
Portable PA (Public Address System)
Portable Projection Screen
Power Cord/Power Strip
Presentation Remote
Reminder! / Special Note! (ITC Use Only)
Remote (for NEC Projectors in Classrooms)
Slide Projector
Speaker (for Audio Amplification)
Tablet PC Lab (User must be on "Trained" list)
Tape Player (Audio Cassette)
Tripod
USB Hub
VCR Only (for 'Local' Video using Projectors in Classroom)
VGA Cable
Video Camera (VHS - Not Digital)
Video Splitter (Dual Monitor Adapter)
ViewStation (Polycom)
Wireless Mouse & Keyboard Kit
Item Not Listed
Item 4
Laptop Computer
TV/DVD Combo (On Cart)
TV/DVD&VCR Combo (On Cart)
TV/VCR Combo (On Cart)
Audio Cable (PC Sound)
CD/Tape Player
Digital Camera (Canon PowerShot)
Digital Camera (Sony Mavicas)
Document Camera (Digital Visualizer)
Headphone Kit (Set of 30)
Laser Pointer
Media
Memory Card Reader/Writer
Microphone for Classroom - Handheld (EDU 101, 102, 115 Only)
Microphone for Classroom - Lapel (EDU 101, 102, 115 Only)
Microphone Kit (Set of 30)
Misc. Item (Describe in Note Section)
Mobile Lab (User must be on "Trained" list)
Multimedia Projector
Overhead Projector (OHP)
Portable OHP (Overhead Projector)
Portable PA (Public Address System)
Portable Projection Screen
Power Cord/Power Strip
Presentation Remote
Reminder! / Special Note! (ITC Use Only)
Remote (for NEC Projectors in Classrooms)
Slide Projector
Speaker (for Audio Amplification)
Tablet PC Lab (User must be on "Trained" list)
Tape Player (Audio Cassette)
Tripod
USB Hub
VCR Only (for 'Local' Video using Projectors in Classroom)
VGA Cable
Video Camera (VHS - Not Digital)
Video Splitter (Dual Monitor Adapter)
ViewStation (Polycom)
Wireless Mouse & Keyboard Kit
Item Not Listed
Item 5
Laptop Computer
TV/DVD Combo (On Cart)
TV/DVD&VCR Combo (On Cart)
TV/VCR Combo (On Cart)
Audio Cable (PC Sound)
CD/Tape Player
Digital Camera (Canon PowerShot)
Digital Camera (Sony Mavicas)
Document Camera (Digital Visualizer)
Headphone Kit (Set of 30)
Laser Pointer
Media
Memory Card Reader/Writer
Microphone for Classroom - Handheld (EDU 101, 102, 115 Only)
Microphone for Classroom - Lapel (EDU 101, 102, 115 Only)
Microphone Kit (Set of 30)
Misc. Item (Describe in Note Section)
Mobile Lab (User must be on "Trained" list)
Multimedia Projector
Overhead Projector (OHP)
Portable OHP (Overhead Projector)
Portable PA (Public Address System)
Portable Projection Screen
Power Cord/Power Strip
Presentation Remote
Reminder! / Special Note! (ITC Use Only)
Remote (for NEC Projectors in Classrooms)
Slide Projector
Speaker (for Audio Amplification)
Tablet PC Lab (User must be on "Trained" list)
Tape Player (Audio Cassette)
Tripod
USB Hub
VCR Only (for 'Local' Video using Projectors in Classroom)
VGA Cable
Video Camera (VHS - Not Digital)
Video Splitter (Dual Monitor Adapter)
ViewStation (Polycom)
Wireless Mouse & Keyboard Kit
Item Not Listed
If the item you need is not listed, please describe the item(s) below Comments:
Do not use quotes (") in the comments box
Please Note: ITC strongly recommends the reservation of all technology and media resources at least 24-hours in advance of the day and time needed.
Copyright 2005, ITC, College Of Education and Professional Studies at
The University Of Central Oklahoma
. Email:
ITC - SRC - FDC Webmaster /
Rod Edwards
/
Disclaimer
Page updated
08/25/2005
