SONDH IS Service Request Form

Name:

Email Address:

Date:

Department/Program:

Location of Service:

Phone #:

Date(s) Required: From To:

Time: Start End (Format 0800 to 1600)

-----------------------------------------Equipment Request-------------------------------------------

Equipment:

Projector cart

Digital Camera

Video Camera

Webcam

Tripod

LCD Projector

Extension Cords Length of Extension Cord Power Strip

Equipment will be used:

On Campus

Off Campus

-------------------------------Video Teleconferencing/Audio Conferencing---------------------

Meeting Name:

Meeting Date(s) & Time(s):

List Participants: 1. 2 3.

Number of onsite participants (attending at SONADH):

Please select presentation requirements:

(DVD) (VHS) Other. Please explain:

Computer with Power Point Computer with other software:

Software required: Note: SONADHIS may not be able to supply requested software.

---------------------------------------------Service Request----------------------------------------------

Service:

Software purchase/installation

Document Scanning (limit 20 pages)

Printer Repair/troubleshoot

Computer Repair/Troubleshoot

Website

Video Recording

Printer Toner Replacement ......... Printer Model#

Laulima

Media Service (Duplication/Recording)

Printer installation

Halawai webmeeting

Graphic Design

Consultation: Equipment, Media, Website, Software, Database.

----------------------------------------Note------------------------------------------

  • Website: Please include as much information as possible.
Web Address example: www.hawaii.edu/its
  • Software: Provide type of software required and version.
  • Printer/Computer: Be very specific in your description of the problem or service requesting.
  • Video Recording: Provide date, time and format that you would like to video saved in. You are responsible for model release signatures.
  • Typhon: Be very specifice and provide complete information.
  • Halawai: Include date, time, number of participants and e-mail address.
  • Graphic Design: Requires meeting
  • Printer toner replacement: Provide make and model#.

Other / Comments/ Instructions


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