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IVC Media Reservation Form


NOTE: This form is for Imperial Valley Campus Faculty ONLY!

Media Checkout provides videotapes, films, laserdiscs, CD-ROMs, and DVDs upon request. All materials are to be used for instructional purposes only and are not available for personal use. Instruction is provided on the use of materials if necessary.

Instructor Information
Your Name:
Your RED ID Number:
Your Phone:
Department:
Your Email:
 
Course Information
Course Number:
 
Media Information
Date Needed:
  (MM/DD/YY)		   Time: AM PM
 
Media:
Call Number Title
 
Special Instructions:

Click the 'Submit Form' button once to complete your request.

You will receive a confirmation via e-mail.