Form Technology/equipment loan request Name*NetID*Email address*Phone*Role at University*Undergraduate studentGraduate studentFacultyStaffAll student equipment loans require an instructor to verify that the request is course-related. EdTech will contact the instructor before the request is approved.If student, please provide name and email for instructor who will verify this request is course-related*What equipment do you need to borrow?* VIXIA Video camcorder DSLR Camera Tripod 360 degree camera Double robot What date will you pick up the equipment?*A minimum of 72 hours notice is required to ensure we have the equipment available and to have it prepared for pickup. MM slash DD slash YYYY What time will you pick up the equipment?*Our office is open M-F 9am-4pm. : Hours Minutes AM PM AM/PM What date will you return the equipment?* MM slash DD slash YYYY Other notes (optional)PhoneThis field is for validation purposes and should be left unchanged.