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WORKSTATION TECHNOLOGY - Equipment Reservation Form
 
Requester Name:
Requester Phone: 
Requester Email:
Requester Department:  
 
What date and time will you be picking up the equipment?
(Remember to allow extra time for equipment set-up, testing, and disassembly.)
     Date: 
     Time: 
   
What date and time will you be returning the equipment?
     Date:
     Time:
 
Equipment Requested:
Laptops
MobiLan
Projector
Video Recording Equipment
     With Tripod
     Without Tripod
 
Has the staff member ever used the equipment before?
(SSTA-WT staff can provide an orientation prior to use, but the user must schedule it prior to equipment pickup. This offer excludes the video equipment.)
Yes
No
 
Do you need application software not already installed on the base laptop?
Yes
No
      If "Yes," please list:
      
 
Does any special hardware need setup?
Yes
No
      If "Yes," please list:
      
 
 
           
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Copyright © , Purdue University, all rights reserved. Purdue University is an equal access/equal opportunity university.
If you have trouble accessing this page because of a disability, please contact ssta@purdue.edu.