Equipment Request Form

Online requests must be submitted at least 36 HOURS before use.

This form is for use by Columbus State University faculty and staff only.
Student requests must be made through the appropriate instructor or organization sponsor.

Please call Instructional Technology Services at 568-2043 if you have any questions.

Items in red are required!

Requester:

Department:

Telephone:    Office:       Other:

Preferred E-mail:

Equipment Requested: (Please be as specific as possible - training is available)

Dates Requested: Start Date:     Start Time:   8:00am 8:30am 9:00am 9:30am 10:00am 10:30am 11:00am 11:30am 12:00pm 12:30pm 1:00pm 1:30pm 2:00pm 2:30pm 3:00pm 3:30pm 4:00pm 4:30pm 5:00pm End Date:       End Time:   8:00am 8:30am 9:00am 9:30am 10:00am 10:30am 11:00am 11:30am 12:00pm 12:30pm 1:00pm 1:30pm 2:00pm 2:30pm 3:00pm 3:30pm 4:00pm 4:30pm 5:00pm

Usage Location:  (Building & Rm #)

Delivery/pickup is available Monday through Friday 8:00-5:00 on the main campus as personnel are available. After 5:00 p.m. or weekend usage requires a secure delivery/pickup and storage location. Please supply the building and room number(s) for delivery and pickup:

Deliver to:        Pick-up from:

Additional Comments:

 Instructional Technology Services
 Division of Simon Schwob Memorial Library
 Ph: 706-568-2043
 Fax: 706-568-3455

Questions/Comments?

Columbus State University
4225 University Avenue
Columbus, Georgia 31907