Media Labs

Media Lab Request Form

Faculty/Instructor Information
Course Information
Example: SOC 322: Women in the 20th Century
Example: MWF, 10-11am
Reservation/Instruction Session Information
If you are requesting an instruction session or to reserve the Media Lab to teach on your own, please complete the following fields:
Example: 10am–11am
Example: 10am–11am
Example: 10am–11am
Example: Accommodation for persons with disabilities
Please provide any additional comments
To help us best assist you, please upload a copy of your class syllabus (pdf or doc format preferred)