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

Academic Change Request 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 are required. Please provide complete information. ***


Step 1 - Please provide information about yourself:

Name:  
Telephone Number:  
Full Email Address:  
Affiliation:  

Step 2 - Please provide the subject and course/section numbers for the course that you want to relocate.

   
Course Information:

-


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:

projection/display for installed AV components
projection/display for auxiliary AV components
 
 
computer w/ Windows™
computer w/ Macintosh OS
laptop computer input
 
DVD player
region-free DVD player
Blu-ray™ player
 
document camera
overhead projector
 
CD player
phonograph
 
PennNet access
Penn Video Network and tuner
 
electrical outlets at student seats
installed assistive listening
projection screen
dual projection screens
wide screen projection/display
 
wireless microphone
podium microphone
additional microphone inputs
 
 
 
single 35mm slide projector
dual 35mm slide projectors
 
single deck cassette player
dual deck cassette player
 
wireless Internet access
 
annotation
classroom recording
Other audio-visual equipment:


Step 6 - Please provide information about your location preferences:

First Classroom Choice:
Second Classroom Choice:
Third Classroom Choice:

Step 7 - Please enter any additional comments below:

 


Other Request Forms:
    Academic Event Scheduling
    Special Event Scheduling     Classroom Lecture Recording     Technology Training Request
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Information Systems and Computing
University of Pennsylvania
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