Computer Classroom Reservation Request Form

All classrooms should be used for Technology Training.

Class Room Requested:		E-Mail Address:

Contact Person:		Phone:
Department:		Fax:
Campus Address:		Name of Seminar or Group:
Instructor:
Dates Requested:	Beginning and Ending Times:
How will the Classroom be Used? No Equipment Needed Projection Equipment Student Computers Wireless Videoconferencing What type of training is being provided? Special Equipment or Software needed for your Class? Please describe, in 50 words or less, software or equipment needed. I'd like an appointment for orientation on using the equipment and software:

701 W. Broad St., Box 843059
Richmond, VA 23284
(804) 828-1177
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