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?


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

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