Academic Media Services

Request Forms

Course Request Form:
AMS Support Office (Campus zip 5604) Call 335-6518 with questions
AMS no longer facilitates textbook orders for classes via videoconference.

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?
Financial Arrangements:


For the origination site and each destination site, please provide the number of students.
Please Check All Sites Involved
# of students Campus to which student
FTE's are assigned
Schedule Line Number Section Footnote Site Code
Walla Walla
Yakima Nursing
Mt. Vernon
Other Sites

The online CRF should be submitted to Academic Media Services upon completion by the department. Academic Media Services will review the form, and then send it to be electronically signed by the appropriate person. It should then be electronically sent back to Academic Media Services.

Academic Media Services will next distribute the completed form to the designated person at each site for acceptance/changes and electronic signature.

Academic Media Services, PO Box 645604, Washington State University, Pullman WA 99164-5604, 509-335-4535, Contact Us