Media Equipment Request

You will receive an e-mail confirmation from the Instructional Media Center as to whether or not the equipment you requested is available.

  Contact Name:  
  Phone:  
  E-mail:  
  Status:  
         
    Date and Time of Use
         
  Date:  
  Time:  
         
    Date and Time of Return
         
  Date:  
  Time:  
     
    Please be advised that the standard checkout period for equipment is overnight or for a weekend. If you wish to use the equipment for a longer period, please state your reason for doing so in the usage box. The Media Center reserves the right to approve or deny extended requests.
     
    Type of Equipment Requested
     
 
     
    Usage
     
    Please state the use so that we can assist you in the best way possible.
     
    Note: Media assistance is determined on a case-by-case basis.
     
 
     
 
     
    SUBMIT   CANCEL