Equipment Checkout Request Forms Request for Equipment Reservation Please fill out this form to submit a request to reserve equipment. Submitting this form is not a guarantee of your equipment reservation. You will receive an e-mail response within 2 business days letting you know if the equipment is available and if your request has been approved. Employee/Student Status*Employee (Faculty/Staff)StudentName*Please enter your name (who will be using the equipment). First Last Person picking up equipment*SelfOtherName of other person (picking up on your behalf)Another person may pick up or return equipment on your behalf. However, it is still your responsibility to have it picked up and returned on time. You will be responsible for any applicable late fees or damage charges. First Last Email*Please enter your e-mail address to receive confirmation of your request. Enter Email Confirm Email Phone*Please provide a valid phone number as an alternative means to contact you. See details about the available equipmentEquipment to check out:* Digital Audio Recorder - Zoom H5 Digital SLR Camera - Canon EOS Rebel T3i Digital Video Camcorder - Canon Vixia HF-R21 Laptop Computer - MacBook Pro WiFi Hotspot - Verizon Wireless MiFi Portable LCD Projector (M) - Panasonic PT-LB60U Portable LED Projector (S) - Casio XJ-A252 Portable PA System (M) - Denon Envoi Portable PA System (S) - Mackie Freeplay Equipment to check out:* Digital Audio Recorder - Zoom H5 Digital SLR Camera - Canon EOS Rebel T3i Digital Video Camcorder - Canon Vixia HF-R21 *Digital Video Camera - Sony HR-NX5U *Digital Video Camera - Blackmagic kit *WGCS Remote Broadcast kit *This equipment is only available for pre-approved Broadcast communication or WGCS students.If you are checking out a laptop and need a projector as well, do not forget to check that box too!Date of pickup* Date Format: MM slash DD slash YYYY Date of return*Equipment is due by the end of business day.Overnight/weekend equipment must be returned by 9:00AM on its due date Date Format: MM slash DD slash YYYY Equipment must be picked up and returned during our normal business hours to avoid late fees. Monday - Friday 8:30AM - 12:30PM 1:30PM - 4:30PM Review our equipment checkout policyCommentsPlease enter any additional comments regarding this reservation request.NameThis field is for validation purposes and should be left unchanged.Privacy Policy AgreementBy submitting this form, I give permission for my form submission and visit to this website to be tracked, to have the data I provided and information about my browser stored, and for this information to be shared with select third parties as outlined in the Privacy Policy. I agree