Academic Computing Services: Equipment Reservation Form

ACADEMIC COMPUTING SERVICES
EQUIPMENT RESERVATION FORM

This form is for FACULTY and STAFF only!
Students must come to ACS and pick up a form for faculty approval.

Please complete the following form to borrow equipment from Academic Computing Services.
All reservations must be placed at least ONE WEEK PRIOR TO DATE OF EVENT

FIRST NAME	LAST NAME	DEPARTMENT	E-MAIL ADDRESS	PHONE

EQUIPMENT REQUESTED:

DELL laptop	Portable projector
Speakers	Mouse

DATE OF USE:

Date	Time	Setup Time	Pickup Time
	:	:	:

LOCATION:

Building:

Room #:

STAFF ASSISTANCE:

Would you like to schedule a Student Technology Assistant?
YESNO

Please reserve equipment at least ONE WEEK in advance. Equipment must be returned with all components (mouse, extension cords, etc.)