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Staff Directory Faculty Handbook Proctor Request Form Media Reservation Form		Media Request Reservation Form Instructor's Name Instructor's Home Campus Today's Date (mm/dd/yyyy) Instructor's Email Class (Subj./Course Num.) Date Needed or Needed for Every Class Day: Mon. Tue. Wed. Thu. Fri. Sat. Time Room# Requested Equipment (please check): TV and DVD TV and VCR Overhead Projector Data Projector Laptop PC (MS Office 2003, Windows XP, Wireless Internet) Note: If special software is needed, please contact your home university or visit www.uh.edu/mitcrequest Internet Access   Other (please specify)