Semester Fall 2005 Winter 2006 Summer 2006

Facility Requested:
Whiting 103 (IBM) Whiting 104 (IBM) Whiting 123 (IBM)Whiting 124 (IBM) Whiting 133 (IBM) Whiting 134 (IBM) Whiting 203 (IBM) Whiting 204 (IBM)

Department: Course #/Section #:
Course Title:

Instructor: Phone: Email (internet):
If you provide an invalid email address, your message will disappear into the void. Please provide your valid email address. For most faculty and staff, your email address will look like LastName@savstate.edu.

Contact [optional]: Phone: Email (internet):
If you provide an invalid email address, your message will disappear into the void. Please provide your valid email address.

Instructor must attend a current orientation session before teaching in a computer lab.
Lab orientation announcements are sent to instructors before the beginning of each semester.

Please list the software that you expect to be used in this class and any software that you will provide. (Enter "none" if that is the answer.)
Lab software:
Software I will provide [optional]:

*Instructor must sign a Copyright Release Form before software may be installed in lab. Please contact the lab manager for more information.

Requested Schedule: All Semester Short-Term (Dates: )

First Choice:

Second Choice:

Additional comments [optional]: