University of Houston-Victoria

Information Technology

ITV Faculty Special Requests

This form is for the distribution of materials in ITV classes when the instructor is at another site. For a list of FAQ regarding ITV click here.

Delivery to IT of materials for distribution is the responsibility of the faculty member. All materials must be pre-duplicated and placed in a sealed envelope with this form attached to the front of it. This form must be submitted and the materials delivered to IT at least twenty-four hours before class. If you have any questions please call 361 570-4390 or 4393 or if you are on campus call x390 or x393.

STEP 1: Fill out this form.

Please note: This form will not submit properly unless all required fields are answered.

Faculty Name:		Division:
Contact Phone:		Contact Name:
Contact Email:		Class Name:
Room & Location that materials need to be delivered.
Date materials need to be delivered.
Time materials need to be delivered.
Method of delivery to IT: by campus mail will drop it off
Method of returning materials: by campus mail will pick up
General Information: Please provide SPECIFIC instructions.

Request: Check all that apply

Deliver Handouts Collect Evaluations Collect Homework Collect Exams

STEP 2: Print this form TWICE before clicking on submit. Attach the first print out to the front of a sealed envelope containing the materials and send it to IT and deliver the second print out to the appropriate division secretary.