University of Maryland School of Medicine Office of Faculty Affairs and Professional Development AUDIO/VISUAL REQUEST FORM ACTIVITY TITLE: LOCATION: TIME :
DATE: PRESENTER NAME: LECTURE TITLE:
AUDIO VISUAL REQUIREMENTS: (circle as many as needed) PRESENATION EQUIPMENT/SOFTW ARE (e.g., PowerPoint): Are you presenting using you own laptop? If yes, is it?
PC
MAC
Yes
No
(Mac users must bring their own adaptors.)
Are you uploading your presentation file to the conference computer?
Yes
No
If yes, indicate file storage device.
ZIP Drive
Do you have additional AV Requirements?
CD ROM
USB Key/Flash Drive
Yes
If yes, indicate equipment required.
VIDEO - 1/2" VHS (NTSC format)
DVD PLAYER OVERHEAD
PROJECTOR
FLIPCHART OTHER _____________________ Please return this form as soon as possible v ia fax to: <contact information>
No
Please return this form as soon as possible v ia fax to: <contact information>