Equipment Reservation Form

Please fill out the information below and then select the "Submit Form" button if you would like to request either a laptop, projector, or both.  Thank you. 
**(Only School of Pharmacy Faculty and Staff may request laptops and projectors.)

Please enter your name:

First Name
Last Name

Please enter a campus phone number where you may be reached (no dashes needed):

Please enter a campus email address where you may be reached:

I would like to check out the following equipment. (Select any of the following options that apply):

PC Laptop
Mac Laptop
Projector
Digital Camera

Enter the start date of checkout:

-- mm/dd/yy

Enter the return date :

-- mm/dd/yy

Enter the start time equipment is needed or will be picked up:

-- hh:mm am/pm

Enter the time the equipment will be returned :

-- hh:mm am/pm

Which features are required on the laptop:

(standard features include: floppy drive, CD player, Windows 2000, Office XP, Acrobat Reader, external mouse)

Zip drive Wireless Mouse

laser pointer                         

You will be required to sign a form, pick up and return the equipment to the SOP IT offices.  You are responsible for the equipment you checked out until it is returned to us.  Please do not install software of any kind on the laptops without first speaking with one of our IT staff.

Enter the location or room number where the equipment will be used:

Will you need assistance setting up the equipment (if used at the School of Pharmacy)?

No Yes Maybe

Please indicate any additional comments you feel we need to know regarding the equipment reservation:

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