Equipment Reservation Request

Personal Information:

Professor or Staff full name:
Email: (name@indiana.edu):
Course or Event:
Classroom number:

Requested items:

Equipment needed:

Mac computer (with projection equipment)
Windows PC (with projection equipment)
Apollo Portable Voice Amplifier (Includes wireless lapel mic)
VCR
Video camera
Other (Please specify in "Comments" section)
Overhead projector (for displaying plastic transparencies)
Polycom tele-conference phone
Digital voice recording device
DVD Player
Microphone (Please specify wired lapel mic, wireless lapel mic, or tabletop area mic)
OS X laptop
Windows laptop
Digital Camera
Non-Standard Software Requested:
Comments:

Please select a reservation type

Single day reservation (ex: A presentation)
Repeating day reservation (ex: A semester long course)
Block reservation (ex: A laptop for a conference)

Starting date (mm/dd/yyyy):
Ending date (mm/dd/yyyy):
Time starting (00:00 am/pm):
Time ending (00:00 am/pm):
Days you need the equipment:	Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Equipment Reservation Request

Personal Information:

Requested items:

Please select a reservation type

Single day reservation form

Repeating day reservations form

Block reservation form

Date equipment is needed (mm/dd/yyyy):
Time needed (00:00 am/pm):
Time ending (00:00 am/pm):

Starting date (mm/dd/yyyy):
Ending date (mm/dd/yyyy):
Pickup Time (00:00 am/pm):