Center for Academic Technology Support

Equipment Checkout Form

Before filling out this form, please make sure you have read our Checkout Policy.

All requests are subject to availability. If you are checking out a digital camcorder, you must provide the media for using it. Media consultation is available at the time of pickup. Please submit forms 24 hours in advance of pickup.

Name:

Email:

Equipment needed*:

Equipment will be taken off-campus:

Date of Pickup (MM/DD/YY, Monday-Friday):

~ Time of Pickup (must be 8:30am-4:30pm):

Date of Return** (MM/DD/YY, Monday-Friday):

Notes:

* - please note that our policy allows for up to 2 pieces of equipment to be checked out at a time. Model is chosen based on availability.
** - please note that our policy allows for up to one week of checkout.