Equipment Request

This form should be submitted to ISC at least 24 hours prior to use time. Failure to do so may result in equipment not being delivered in a timely manner, or denial of services.

1. Today's Date
   
   
2. Your Department or School
   
   
3. Your Name
   
   
4. Your Email address: 
   
   
5. Name (faculty/staff) of person requesting equipment
   
   
6. Equipment to be used Overhead projector TV/VCR 35mm Slide projector (limited supply) Public Address system (2 speakers and mic) Screen LCD projector Mini DV Camcorder LCD/Laptop Tape Recorder TV VHS/DVD Player
   
   
7. Other Items/Services:
   
   
   
8. Date to be used: Starting Date: Ending Date:
   

Please indicate starting date and ending date, if needed (5-14-98 - 5-19-98)



9. Time to be used: Starting Time : Ending Time :
   

Please indicate the starting and ending times (8:00 - 9:00 a.m.)



10. Location to be used
    On Campus Off Campus (check one)
    
    
11. Setup Instructions
    
    Equipment may not be requested by students. Student organization requests must be done by organization advisor only.
    (e.g., Please set up by 9:00 a.m. if possible.)
    
    If setup is required, the setup information/diagram MUST be submitted to Janice Weeks: Office RPSEC 301 or by FAX to 641-3615.

 

 

 

 

 

 

 

 

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