Please fill out this form at least 1 week in advance to request media support services from the COCIS Tech Media Lab, so that we have time to respond and prepare for the event. If you have an urgent or last minute request, please contact the TRA desk directly at [email protected], or Martin Mehrling, the COCIS Technology Manager. Thank you!
Please select the option that best fits. If none of them are appropriate for your request leave it blank.
Write the LISSA organization(s) that you are making this request for.
Write your fellowship position/title here
Write the name(s) of the faculty/staff you are making this request on behalf of.
select all that apply
If NOT requesting for an event, please enter "NA".
If unknown, please write "TBD".
If request is for an event, please indicate date(s) & start/end times of event. Otherwise, include preferred times and dates.
Please list any equipment or specialized software you are requesting.
If there are additional points of contact for this event please write their name and contact information here.
If you have any additional information you'd like to include, or if you have any questions for us please write them here. If you selected "Other" under for "What kind of support are you requesting" please elaborate here.