Academic Media Services

Request Forms

Course Request Form:
AMS Support Office (Campus zip 5604) Call 335-6518 with questions

Term (please indicate):


Course prefix:
Course number:
Is course cross listed/conjoined?
Course title:
Day(s) :
First Class Meeting Date:
Last Class Meeting Date:
Starting Time:
 :
Ending Time:
 :


Primary Origination Site:
This course will originate from a departmental classroom using a departmental system.
Credit hours:
Requester Name:
Requester Phone:
Requester Email:
Instructor Name:
Instructor Phone:
Instructor Email:
Contact Person:

Contact Phone:
Contact Email:
Will course be videostreamed?
Remarks:
 









 

 
For the origination site and each destination site, please provide the number of students.
Sites
Please Check All Sites Involved
# of students Campus to which student
FTE's are assigned
Schedule Line Number Section Footnote Site Code
Pullman
Spokane
Tri-Cities
Vancouver
Walla Walla
Yakima Nursing
Puyallup
Mt. Vernon
Wenatchee TFREC
Prosser
NPS-Everett
Olympic College - Bremerton
Other Sites


Course submissions must be consistent with what is posted in the ROOMS systems at all sites. Please check Zzusis or the Schedules of Classes for class #, caps, and other relevant information.



Academic Media Services, PO Box 645604, Washington State University, Pullman WA 99164-5604, 509-335-4535, Contact Us
http://ams.wsu.edu/RequestForms/CourseRequest.aspx