Studio IT or Computer Based Testing Center Reservation

You will receive a copy of the form upon submission.

First Name: *

Last Name: *

Email Address: *

Please enter email address

Phone Number: *

Department: *

Course Number/Section: *

Desired Dates and Times: *

Please select the dates and times you would like to reserve. Example: "August 22, 2011 8:00 am - 10:00 am"

Semester: *

Participants: *

How many participants will be using the room?

Testing: *

Are you using the room for testing?

Components:

Check equipment that you would like to use.

Computers: *

How many computers do you need?

Description: *

Describe how you wish to use StudioIT and also any special room arrangements:

Observations: *

I am willing to allow others to observe while I use StudioIT.

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