Academic Course Room Change Request Form :: University of Pennsylvania Central Pool Classrooms

ISC Classroom Technology Services (CTS)

	Classroom Information & Support
	Classroom Finder
	Technology Instructions
	Local Support Information
	Current Projects
	Instructor's Survey

	Classroom Scheduling
	Academic Event Scheduling
	Academic Change Request
	Special Event Scheduling

	Provost's Central Pool Classrooms
	Central Pool Classrooms
	CPC Construction Standards
	CPC Technology Standards

	Tools
	Local Workstation Info
	CTS Quality Tracking System

	Phone: 215-898-9550 Email: cts@isc.upenn.edu

Academic Course Room Change Form for Central Pool Classrooms

Use this form to request a change in the classroom already assigned to a course.

If a classroom has not been assigned to your course, please contact your department. Instructors teaching LPS courses should contact the College of Liberal and Professional Studies.

*** All fields in RED must be filled out completely. Incomplete forms will not be accepted.

Step 1 - Please provide information about yourself:

Name:
Telephone Number:
Full Email Address:
Affiliation:
	i.e., School/Center/Department

Step 2 - Please provide the subject and course/section numbers for the course that you want to relocate (e.g., ECON 002-401). All courses at Penn have both course and section numbers.

Subject Code (e.g., ECON)	Course Number		Section Number
		-

Step 3 - Please provide information about why this change is requested:

Reason for Change:

Step 4 - Please provide information about the preferred classroom for this course:

Preferred Classroom Layout:

Step 5 - Please indicate your audio-visual equipment needs:

	computer w/ Windows
	Macintosh computer
	laptop computer input

	DVD player
	multi-region DVD player

	video and computer projection
	portable AV projection

	overhead projector
	document camera

	CD player
	record player

	Sympodium

	large display monitor

	wireless microphone
	podium microphone
	additional microphone inputs

	VCR
	multi-standard VCR

	projection screen
	dual projection screens

	single 35mm slide projector
	dual 35mm slide projector

	single deck cassette player
	dual deck cassette player

	power at student seats

	LaserDisc player

Other audio-visual equipment:

Step 6 - Please provide information about your location preferences:

First choice:
Second choice:
Third choice:

Step 7 - Please enter any additional comments below:

Other Request Forms:
Academic Event Scheduling
Special Event Scheduling



Information Systems and Computing University of Pennsylvania Comments & Questions