Computer Lab Request Form

Faculty and Staff may reserve the computer lab for class use contingent upon
availability.

Name (Please print)

Department
Phone Number
Course Title
Course Number
Day & Time of class
Semester

Please select which computer lab(s) will suit your course:

Computer lab Capacity Software Requirements Number

of students
133A 25
133B 28
139A 28
141 20
150 14
212 25
214 27
215 28
Laptop 29

How often will you need this class? One time only Date? Periodically

If you checked “Periodically” please indicate actual dates needed:

If a computer lab is not available, could you teach this course using laptops? Yes: ☐ No: ☐

Email Completed form to AS-ITStaff@acc.commnet.edu

You will receive a confirmation email indicating if the lab was reserved
for you, otherwise we will contact you with questions or concerns.
11-15-12 JPL