Biology Stockroom

							Biology Stockroom
Equipment Reservation Form
Name:

Phone #:

Email:

                    Please CHECK appropriate bo x and STATE course/lecture number
    Lecture         Course             Seminar          Thesis           Other    Description:
                    Nu mber:
    Lab
                                        Equipment Reservation
Equipment:                     Please check as many as needed.
Date needed:                   Put exact Date or put Days (M,T,W,TH,.F) if reserving for the quarter
                               For a week of labs put Week of and the date of the first lab, we can work out the times. (ie:
                               Week of Sept 25)
Time:                          State time you will pick up equipment. Also state time you will return equipment.
Schedule for                   Check “Yes” if this is a quarter long reservation
Whole quarter:
One Time Use?                  Check “Yes” if use is just for stated date(s)
                                 Date (s) Needed                  Time         Building/      Schedule for        One t ime
Equip ment
                                 Multiple Dates OK        Start      Finish    Roo m          whole quarter?     Use
Laptop Cart –quantity (1)                                                                         Yes                Yes

Laptop Cart – quantity (2)                                                                        Yes                Yes

When reserving Laptop Carts
please indicate if you need           Printer           Systat                 Computers for camera
any of this items

Powerpoint Cart                                                                                   Yes                Yes

Laptop (quantity)                                                                                 Yes                Yes

                                 Date (s) Needed                  Time         Purpose if
                                 Multiple Dates OK        Start      Finish    not for
                                                                               field trip?
Van Reservation


Additonal
comments or
instructions:


Please save the completed form and attach to an email to Peter.Thut@wwu.edu and
Jeannie.Gilbert@wwu.edu