Media and Instructional Technology

Training Request Form

To request a training session, please complete this online form.

First Name:

Last Name:

Contact Phone Number:

Email Address:

Division:

Course Name:

Available Dates/Times for Training:

Blackboard ID (if applicable):

Type of User: Current  New

Location: On-Campus  Off-Campus

Multimedia Classroom (room you will be teaching in):

Type of Training: