CONTACT INFO


FACULTY

STAFF

NAME
A value is required.

EMAIL ADDRESS
A value is required.

PHONE NUMBER
A value is required.

DEPARTMENT
A value is required.

LOCATION & DATE




ROOM NUMBER


DELIVERLY DATE


CLASS START TIME


MOBILE LAB CAN ONLY BE DELIVERED FROM 8:00A - 3:30P.

CLASS END TIME


MOBILE LAB MUST BE RETRIEVED BEFORE 4:00P.

EQUIPMENT


APPLE MOBILE LAB (9 WIRELESS MAC LAPTOPS)

USER AGREEMENT


REQUESTS MUST BE MADE 48 HOURS (MON-FRI, NO HOLIDAYS) IN ADVANCE BY FACULTY OR STAFF. THE RESERVING DEPARTMENT/COLLEGE/SCHOOL IS FINANCIALLY RESPONSIBLE FOR ALL EQUIPMENT OR MATERIALS. REQUESTS MUST BE APPROVED BY THE DTC DIRECTOR IF USED FOR NON-CLASSROOM PURPOSES. THE DRAKE TELEMEDIA CENTER RESERVES THE RIGHT TO REFUSE EQUIPMENT TO ANY PERSON/CLASS/DEPARTMENT/SCHOOL FOR ANY REASON.

Please make a selection. I HAVE READ AND AGREE TO THE ABOVE STATEMENT

COMMENTS