ETC Plasma TV Reservation Form
We have a 42 inch plasma TV in the T-Room that is used to display programming for academic related functions. Use this form to request additional information to be displayed on the TV.
All Fields Must Be Completed
All Presentations must be approved by Peggy Berry.
Once your presentation is approved, we will contact you.
Last Name:
First Name:
Phone #:
E-Mail:
Bldg. and Office #:
You are:
Undergrad
Student
Grad
Student
Faculty
Staff
Type of presentation:
Video or
TV show
Slide Show
Presentation
Individual Slide
during regular
slide show
Other
Date of Presentation:
Month:
January
February
March
April
May
June
July
August
September
October
November
December
Day:
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Start Time:
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
6:30 PM
7:00 PM
7:30 PM
8:00 PM
8:30 PM
9:00 PM
9:30 PM
10:00 PM
10:30 PM
11:00 PM
11:30 PM
Presentation Affiliation:
Please describe what organization is affiliated with this presentation, if any.
Detailed Presentation description and comments:
Please give a !*DETAILED*! description of the length, content, and format of the presentation.
Page Last Updated: Thursday January 19, 2006 08:53:48 AM -0600 Page Created By: Tom Ryan