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Reserve IT Rooms and/or Equipment Request

Information Technology

Name:
Phone:
Department/Organization:
Name of Class/Program/Workshop (if applicable):
Numbers of Computers needed:
Location (check all that apply): Computer Lab (up to 28 computers)
        Room #:
Lecture Hall (60 seats)
Student Lounge (Snacks/Lunch)
        Time(s):
List Date(s) & Time(s):
Example:
Begin 01-02-14 @ 10:00am
End 01-02-14 @ 12:00pm
Begin End
Begin End
Begin End
Begin End
Begin End
Equipment requested (check all that apply): Laptop
Projector
Other
Equipment Training Request (at least 1 week notice)
Program(s) required for workshop (check all that apply): Adobe Acrobat
Internet Explorer
Microsoft Office (Access, Excel, Outlook, PowerPoint, Publisher, Word)
Other
Acknowledgement
I hereby acknowledge that I understand and accept all responsibility for the facility and/or equipment if stolen or damaged.
Submitted by (full email address):