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Beekmantown Audio/Visual Customer Service Request Form

It is our goal to provide you all you need so that your event is successful. We would ask that you help us to help you by providing at least 24 hours notice for all requests.

All presenters should arrive on-site at least 30 minutes early in order to ensure a smooth integration of district technology with their presentation plans.

PLEASE NOTE: Due to firewall and Internet filtering restrictions you must bring any non-district laptops to the EdTech Center during normal business hours (7am-3pm) in order to have it properly configured to work on our network. This applies to any presenter wishing to use their equipment on the BCSD network.

https://calendly.com/bcsdk12-scheduling/edtech-appointment-request

I have read the above statements and will comply with them. If I am making these arrangements for another presenter I will ensure they comply with the above statements.

Yes, I will complyNo, I cannot guarantee compliance

Contact Information

First Name

Last Name

Is the person completing this form running this event?

YesNo

If the person in charge of the event is NOT a school employee, please indicate a school employee who will serve as the Point of Contact, and their contact information:

What is your Extension or Telephone Number you can be reached at?

Email Address

Required for email confirmation

Please indicate the location of the event:

Main Building Auditorium

What is the Date & Time of the Event

Start Date

End Date

Start Time

End Time

What time will the Presenter be On-Site?

Please select the items you will be using(for multiple selections please hold down the CTRL key):

Please indicate the number of the following items you will need (if any):

Microphones with Stands

Wireless Microphone

Lapel Microphone

Please indicate any Special Lighting Needs you may have:

Are there any other needs, comments, or considerations that will help us to better meet your needs?

LGI

What is the Date & Time of the Event

Start Date

End Date

Start Time

End Time

What time will the Presenter be On-Site?

Please select the items you will be using(for multiple selections please hold down the CTRL key):

Please indicate the number of the following items you will need (if any):

Microphones with Stands

Wireless Microphone

Lapel Microphone

Are there any other needs, comments, or considerations that will help us to better meet your needs?

Gymnasium

What is the Date & Time of the Event

Start Date

End Date

Start Time

End Time

What time will the Presenter be On-Site?

Please select the items you will be using(for multiple selections please hold down the CTRL key):

If you need an ethernet cable (for wired internet) cable do you need?

Microphones with Stands

Wireless Microphone

Are there any other needs, comments, or considerations that will help us to better meet your needs?

All Purpose Room

What is the Date & Time of the Event

Start Date

End Date

Start Time

End Time

What time will the Presenter be On-Site?

Please select the items you will be using(for multiple selections please hold down the CTRL key):

If you need an ethernet cable (for wired internet) cable do you need?

Microphones with Stands

Wireless Microphone

Are there any other needs, comments, or considerations that will help us to better meet your needs?

Library

What is the Date & Time of the Event

Start Date

End Date

Start Time

End Time

What time will the Presenter be On-Site?

Please select the items you will be using(for multiple selections please hold down the CTRL key):

If you need an ethernet cable (for wired internet) cable do you need?

Microphones with Stands

Wireless Microphone

Are there any other needs, comments, or considerations that will help us to better meet your needs?

Cafeteria

What is the Date & Time of the Event

Start Date

End Date

Start Time

End Time

What time will the Presenter be On-Site?

Please select the items you will be using(for multiple selections please hold down the CTRL key):

If you need an ethernet cable (for wired internet) cable do you need?

Microphones with Stands

Wireless Microphone

Are there any other needs, comments, or considerations that will help us to better meet your needs?

Conference Room

What is the Date & Time of the Event

End Date

Start Date

Start Time

End Time

What time will the Presenter be On-Site?

Please select the items you will be using(for multiple selections please hold down the CTRL key):

If you need an ethernet cable (for wired internet) cable do you need?

Microphones with Stands

Wireless Microphone

Are there any other needs, comments, or considerations that will help us to better meet your needs?

Classroom (Please note: You will need to pick up this equipment at the AV office in the Highschool)

What is the Date & Time of the Event

End Date

Start Date

Start Time

End Time

What time will the Presenter be On-Site?

Please select the items you will be using(for multiple selections please hold down the CTRL key):

If you need an ethernet cable (for wired internet) cable do you need?

Microphones with Stands

Wireless Microphone

Are there any other needs, comments, or considerations that will help us to better meet your needs?

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Contact Information