Georgia Southern University School of Nursing 

  Faculty Needs Survey & Request Form
Please fill in all fields marked with a *
Name *
Email Address *
1. What courses do you currently teach? *
2. For each course briefly list the teaching aids/resources/equipment you are using *
3. What AV materials are you using? (Please visit the Media Inventory page and copy/paste the item number of the videos, etc in the field provided)
4. What software (case studies/simulations) do you require your students to use? (Please visit the Media Inventory page and copy/paste the item numbers in the field provided)
5. What do you need that you currently do not have?
6. If possible, please identify the following information for the needed resources:  
        • ItemName
        • Company
        • Website
        • Vendor
        • Price
        • ItemNumber
        • Comments