LTC Equipment Reservation Form

TheDigital Resourcesequipment is located in G-13 Still Building and providesshort-term loansof limited electronic equipment for faculty instructional use and university events. Equipment may be picked up and dropped off at the following times (Digital Resources does not provide delivery or pick-up):

Hours of Operation:
Monday through Friday from 8:30 - 4:30 p.m.

Online requests for equipment must come from university faculty or staff members. Equipment loan is only available for instructional use.Equipment requests for event use must be coordinated through theEvents & Scheduling office.Requests must be submitted at least three (3) days in advance!

The person requesting the equipment is responsible for returning the equipment in working condition and reporting any problems. First priority for equipment will be given to requests supporting academic instruction. Once a request is received, it will be reviewed for availability and a confirmation will be sent to the requester.

Any questions or problems with the form please contact the Learning Technology Center, x1848, or atLTCSupport@www.pumanvillage.com.

**** General Information ****

*First Name

*Last Name

*Clarion E-mail Address

Status

*Phone (xxx-xxx-xxxx)

*Department

**** Event/Use Location Information ****

Room Number

Building

Off Campus Location

*Description of Event or Use

**** Date(s) Requested ****

Notes:

* Select 1 day in advance if equipment is needed before 1PM
* These are short-terms loans of equipment (3 days or less).
* Pick-up and drop-off times are from 1PM - 4PM, Monday - Friday, G-13 Still Hall.

**View theEquipment List

Starting Date/Time*

Ending Date/Time*

Equipment Requested

If you need more than one of the items in a category above, please specify in the text box below. Please add any other information pertinent to your request (including a pickup/drop-off time if outside normal hours). If someone other than the requestor picks up the equipment, anauthorization formmust be submitted at the time of pickup.

Equipment Request Comments

NOTE: The 付款预定没有t complete until you receive a verbal or email confirmation from the Learning Technology Center.If you have any questions, call x1848 or emailltcsupport@www.pumanvillage.com.

By submitting this form you agree to abide by thepolicies and proceduresfor use of the media resources.