IMS Program/Services Scheduling

Request Form

Please read the following before filling out & submitting an IMS Program/Services Request Form. IMS will no longer be scheduling projects/services on a first come-first serve basis, but giving scheduling priority to Instruction-related projects. Projects rankings are:

Number 1: Those projects requested by faculty or departments that report directly or indirectly to the Office of Instruction, which includes the following: faculty, division chairs, distance education, professional-technical program faculty & division chairs, College Skills, WFTC, ABE/GED, and the Molstead Library. This rank also includes requests from the President’s office.

Number 2: Those projects requested by other NIC departments. These projects will be accepted if time allows and may be moved down the scheduling tier if an instruction-related project conflicts with projects of this ranking.

Number 3: Those projects requested by outside sources (Unless personally specified by the NIC President to receive a higher ranking). Please take these ranking into consideration before submitting an IMS Program/Services Scheduling Request Form. If you wish to check out A/V equipment from IMS’s A/V pool please fill out an A/V request form. IMS A/V equipment will NOT be checkout for personal use or commercial use.

Date Requested: ________________ Ranking _________

Date Request Reviewed: ______________ Reviewed by: _______________

_________________________________________________________________

(Requesters Name)

_________________________________________________________________

(Division or Department)

_________________________________________________________________

(e-mail and Phone Ext.)

What final product/service do you anticipate? (Please check one of the following)

____ Creation of original video footage ____ Poster/Flyer/Brochures

____ Videotaping of event/classroom presentation ____ Conference setup

____ Pricing and installation of A/V equipment ____ CD ROMs

____ Web page design/creation ____ Digital Photography

____ Other

Detailed description of project/service:

What is the purpose of project/service:

Who benefits from project/service (target audience):

When do you wish the project/service completed:

Anticipated resources needed:

___________________________________________________________ __________

Requesters Signature (Date)

___________________________________________________________ __________

Division Chair or Supervisor’s Signature (Date)

___________________________________________________________ __________

V.P. signature (if appropriate) (Date)