Equipment Request Form

  1. First Name(*)
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  2. Last Name(*)
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  3. Department
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  4. Email Address(*)
    Please enter an email address.
  5. Phone
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  6. To choose more than one item in a group, hold down the Control key
  7. Cameras and Accessories
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  8. Computers and Presentation Equipment
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  9. Audio and Video Conferencing
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  10. Travel Accessories
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  11. Miscellaneous Equipment
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  12. Pickup Date(*)
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  13. Return Date(*)
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  14. If you require more than a quantity of 1 of each item, please specify in the description.
  15. Please briefly explain how you plan to use this equipment:
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  16. If you would like assistance or training with this equipment, please let us know.
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  17. Students: YOU MUST FILL OUT THE STAFF/FACULTY NAME AND EMAIL categories. When you submit your form, an email will be sent to the Staff/Faculty member asking for authorization for you to borrow the equipment. Without this authorization, you will be unable to use sign-out equipment.
  18. If student, Faculty or Staff Sponsor Name:
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  19. Faculty or Staff Sponsor Email
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  20. This equipment is intended for College sanctioned use only. By checking out IT sign-out equipment it is understood that it is my department's responsibility to fund any repairs or replacement should damage occur while the device is checked out in my name. I will return this equipment at the time and date specified above. BY SUBMITTING THIS FORM, I AM AGREEING WITH THE ABOVE STATEMENT.

If you are not certain what type of equipment you need or how to use it, contact Information Technology by sending an e-mail to .  Instructional Technologists are also available by appointment to assist your needs by contacting .