Classroom Needs Request Form

Deadline for submission is December 13, 2024.
Priority consideration will be given to those requests submitted by the deadline.

Instructor First and Last Name:

CRN:

Subject/Number/Section:

Title:

Meeting Day(s)/Time(s):

This course needs to use a scheduled space.

BUILDING PREFERENCES

Select your preferred first, second, and third choice for an academic building.

**Limited availability

First Choice

Second Choice

Third Choice

If there is a specific classroom that you would like to request, please list it here:

CLASSROOM SETTINGS

Rank in order of preference (1, 2, 3, etc) the types of permanent classroom setting that meets your needs.
It is fine to skip this section if you have no preference.

Traditional Lecture - Tablet Arm Chairs

Alternative Lecture Setting - Rectangular Tables and Chairs

Tiered Lecture Setting - Stadium Seating/Large Lecture

Seminar Seating - Max Limit: 18

Computer Lab (student workstations) - Note: Select ONLY IF lab is the permanent setting for this course

Active Learning Classroom - Ability for students to work in groups

ROOM CONFIGURATION

Settings with moveable furniture, indicate your preferred room configuration for teaching.
(Note: for informational purposed only)

Standard RowsU-shapedDiscussion/CircleSmall Groups

Instructional Technology Needs

Indicate your intended usage of the following instructional technology tools.

ENO Board

AlwaysOccasionallyNever

Sharp Touch Display

AlwaysOccasionallyNever

Apple TV

AlwaysOccasionallyNever

Document Camera

AlwaysOccasionallyNever

DVD Playback

AlwaysOccasionallyNever

Piano

AlwaysOccasionallyNever

Solstice Pod

AlwaysOccasionallyNever

iPad Cart

AlwaysOccasionallyNever

I would like a short session on the use of classroom technology:

YesNo

Include any comments or additional information that will help us to identify a suitable space for this course: