Equipment Request Form

The Technology Training Center is located in room 1704, and has equipment that IVC employees can reserve on a timely basis for conferences, meetings, seminars or work related purposes. Please call first for availability at (760) 355-6189. Thank You.

Instructor Name Instructor Name First Last
Please enter your first and last name.
Contact Email

This is the email address that will be used to email you a confirmation of your submission.
Phone Phone - ### - ### ####

Please enter your extension.
Pickup Date Pickup Date / MM / DD YYYY

This is the day you will be picking up the equipment for usage.
Return Date Return Date / MM / DD YYYY

This is the day you will be returning the equipment after usage.
Available Equipment

Available Equipment Eiki Projector: LC-XB22 Eiki Projector: LC-SB20 Kodak Digital Camera C643 Gateway M275 Laptop

Please select one item from the list of available equipment. If the equipment is not available we will notify you after we have received your request.
Purpose

Please describe how you will be using the equipment.