ITS Equipment Request

Equipment Checkout for Faculty / Staff

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First Name *

Full Email address *

Department *

Last Name *

Phone number *

Anticipated dates of use:

From: * to * (1/1/04 format please)

You'll be contacted regarding availability and pick-up times for the equipment.

* denotes a required field

Check your needs	Equipment Descriptions	Equipment Images
	We have 6 new Dell laptops Windows 2000, CD Drive, Floppy drive, Office 2000, McAfee, On-campus Wireless pre-configured
	We have 7 projectors which come with all cables for power, remote, and a connection to a computer’s external VGA port
	We have 4 digital cameras which come with 1 battery, floppy disk image storage
	We have 4 USB 250M Zip drives. The customer provides their own disks (remember you can use 100 MB or 250MB disks)
	We have 3 portable screens sized 6 x 6

Is there any additional information that you think we should know (software needs, setup questions)?

Any Faculty or Staff member can check this equipment out for a maximum 2 week time frame.
Filling out this form does not guarantee or confirm your request.
Please try to anticipate your equipment needs as far in advance as possible.