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Student Affairs Technology Services

Grand Forks, ND

Equipment Checkout Form

Personal Information
First Name:
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Last Name:
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Email Address:
A value is required.Invalid format.
Supervisor Email:
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Reason for Request: Please select an item. If Other:
Date Needed: Until:
A value is required.

Equipment Request
What equipment will you be checking out? Minimum number of selections not met.      

Laptop Information
The following programs will be included by default: Groupwise, Microsoft Office, Internet Browser, Adobe Acrobat, Java, Flash Player, and FoodPro.
   
Please list any additional programs required:
Will you need DVD Playback capabilities?

Additional Information
Do you need technical assistance with setup?
Will you be picking up the equipment? (available between 8a-4p M-F)
If not picking up, please provide further instructions:
Time Needed (e.g. 2pm): Until:

Security Check Security Image

Please enter the security code as above:

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