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 taught by the Learning Technologies Librarian 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)