Please fill out the form below and use the submit button to send it. This page can also be printed and mailed to: Mary Martino, Office of the Registrar, Box K.

To help us in assigning classrooms, it is important that you let us know each semester exactly which classroom and equipment features are most important for your courses, in order of importance. It is not always possible for us to meet every need. However, it is still useful for us to know what features are important to you, to help us in future planning.

Please submit a separate form for each course section.

Note: If your course requires use of a CIT computer classroom with student computers or instructor computer projection throughout the semester, please be sure to fill out the last portion of this form titled CIT Computer Classroom Request.

Requests to reserve CIT computer classrooms during the semester should be arranged with Mary Martino for the first 3 weeks of classes and CIS Computing Facilities for any time thereafter.

If you are interested in incorporating technology into the teaching and learning process please contact your CIS Instructional Technologist. For more information visit http://www.brown.edu/cis/services/academic/itg/.

The scheduling of classooms (A.M. or P.M.) for the fall and spring semesters is managed by the Registrar's Office throughout the academic year when classes are in session and include academic classes and all events related to these classes/courses. (Academic classes are defined as regularly scheduled courses that can be registered for in Banner such as primary meetings, conferences, labs, filmings/screenings, and common meetings.)

If you have questions about completing this form, please contact Mary Martino via email (Mary_Martino@brown.edu) or by calling x3-1702.

All other events unrelated to classes (A.M. or P.M.) should be scheduled through the University Scheduling Office.

Course Information:

Instructor Contact Information:

example: Josiah_Carberry@brown.edu
A copy of your request will be e-mailed to this address.

Required Classroom Features

NOTE: Please check only those features that are necessary for teaching this course. While we try our best to match your request to available rooms, it is not always possible for us to meet every need, particularly for courses taught during peak hours (numbers in parentheses are for Registrar office use).

Please do not check off A/V equipment needed fewer than five times a semester, instead, please submit a Media Services reservation form to reserve such equipment.

Student Seating:
(leave blank if no preference)

Level Seating (2)

Seminar Seating (moveable chairs and table) (3)

Moveable Chairs (4)

Tiered Seating (auditorium style) (43)

Instructor Furniture and Boards:

Ample Blackboard Area (16+ feet) (6)

Lectern/Podium (9)

Work or Demonstration Table for Instructor (16)

White Marker Board (17)

Standard Blackboard (49)

Projection Equipment

Please do not check equipment you intend to reserve occasionally from Media Services (see note above.) *However, please do indicate if you need a classroom with a projection screen and lighting control for such equipment.

*I plan to reserve A/V equipment as needed through Media Services and require a classroom suitable for projection. (18)

16mm Film Projector (20)

Computer Data Projector with Computer Interface (instructor to supply computer) (32)

Dual Slide Projector (55)

If your course requires use of an overhead projector, please contact Media Services (x3-2197) in advance for assistance.

Playback Units

VCR ( Standard VHS) (27)

Multi-region DVD Player (40)

VCR (Multi-standard VHS) (54)

DVD Player (56)

If your course requires use of foreign-standard video, please contact Media Services (x3-2197) in advance for assistance.

Sound Support

Please check the Media Services website to see if the sound support in the room you are requesting is supported by Media Services. If sound support is not listed as one of the features supported by Media Services, please call the Event Support Office at x3-7820 to reserve any of the following equipment. (Please check with Media Services or Event Support if you have questions regarding service fees.)

Speaker system (26)

Lavaliere (clip-on) microphone

Podium microphone

Network Access
(please call CIS Network Services at x3-2007 regarding service fees, if applicable)

Computer Network Access (31)

Computer Network -Wireless (34)

BruNet connection for cable, satellite or teleconferencing (service fee required) (44)

Standard telephone connection (service fee required)

Special A/V and Computing Accessories:

Visual Presenter (Document Camera) (36)

Audio Cassette (with playback/record capability) (41)

Laser Pointer

Wireless Microphone

If your course requires use of a camcorder, please contact Media Services (x3-2197) in advance for assistance.

Special Classroom Request:
Please indicate if you have a preference to teach in a specific classroom, and describe the classroom features, in order of importance, which might make special assignment necessary.

Other:
Please indicate any special needs such as disability access, accommodations for back-to-back teaching assignments or other needs not indicated elsewhere on this form. We will make every effort to accommodate special needs indicated on this form.

CIT COMPUTER CLASSROOM REQUEST