Class Use of Media Resources Request Form
Description of Use
*
Date Requested
*
-
Month
-
Day
Year
Date
Actual Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Approximate End Time
*
Hour Minutes
AM
PM
AM/PM Option
Campus Sponsor (Department)
*
Requester Name
*
Requester Phone
*
Requester Email
*
first.last@scranton.edu
Number of Anticipated Guests
*
Additional notes
Submit
Should be Empty: