Name: Please enter your name, example Wiley Coyote Department: Accounting and Finance Anthropology Art Biology Chemistry Communication Studies Computer Science Criminal Justice Economics Educational Leadership & Curriculum English Ethnic Studies Geography & Environmental Science Geology Health Science & Human Ecology History Information and Decision Sciences Kinesiology Language, Literacy, & Culture Management Marketing Mathematics Military Science Music Nursing Philosophy Physics Political Science Psychology Public Administration Science, Mathematics, & Technology Education Social Work Sociology Theater Women's Studies World Languages Other Please let us know the department your are affiliated with.. If other, please specify: Email: Please enter your email address, example jdoe@csusb.eduInvalid format. Phone: Please enter your phone number.
First choice date, start time, and end time: Please enter your preferred dates/times Second choice date, start time, and end time: Please enter your preferred dates/times
Course abbreviation and number: You forgot to enter your couse name and number. Number of students (75 max.): Please enter Number of students in attendance (up to 75) Will there be any disabled students attending? Yes No If yes, state how many and specify type of disability:
Seating arrangement: Theater Tables and Chairs Will you need to use the instructor's workstation? Yes No If yes, please note that Apple laptops may not work without modifications. Will you need to use a microphone? Yes No If yes, what type? Wireless Handheld
Title of movie: If the movie is owned by the library (check the Pfau Library Catalog), did you need us to reserve it for you? Yes No Format of movie? VHS CD DVD Blu-Ray None
