Classroom Adjustment Request Form

Use this form to request a change in the classroom already assigned to a course.

All fields must be completed. Incomplete forms will not be accepted.

Please provide the following information about yourself:

Name:

Telephone Number:

E-mail Address:

Please provide the following information about your department:

Academic Department:

Telephone Number:

Please provide the following information about the course:

Course Number (example: ECON 1000-001 Introduction to Economics):s):

Subject : Course Number: Section Number:

Reason for classroom change:

Please provide information about the preferred classroom for this course:

Preferred Classroom Layout:

(If you only need technology for occasional class meetings, please use the IT Classroom Support - Equipment Request Form to reserve the equipment for your classroom for the date the technology is needed.)

Please provide optional information about your room preferences:

First Choice Room Number:

Second Choice Room Number: