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SVSU Instructional Technology Center Equipment Reservation Request Form

Please complete the form to request Equipment during your class period.
A confirmation Email will be sent to you within 24 hours stating whether or not the equipment is available.


 Instructor's First Name:  
 Instructor's Last Name: 
 Date Equipment Needed:  

 Class Start Time:

    a.m.     p.m.

 Class End Time:

    a.m.    p.m. 
 Classroom Building & Number:  

Check the equipment you need from the list below:


   Data Projector    VCR / TV
   Laptop    DVD / TV


Other equipment needed if not listed above: