QC Makerspace Access Request
Use this form to request access to the Makerspace between the hours of 4:30pm and 8:45pm Monday thru Friday. This form must be completed 24 hours in advance and you'll receive confirmation when it's been approved.
Name
*
First Name
Last Name
WIU Email Address
*
Phone Number
*
Please enter a valid phone number.
Student ID
*
xxx-xx-xxxx
Is another student coming?
Yes
No
Additional Students
If another student will be joining you, please provide their full name and email address. If more than 5 students are joining you a second form will need to be created.
Student Name 1
First Name
Last Name
Student Email 1
example@example.com
Student Name 2
First Name
Last Name
Student Email 2
example@example.com
Student Name 3
First Name
Last Name
Student Email 3
example@example.com
Student Name 4
First Name
Last Name
Student Email 4
example@example.com
Student Name 5
First Name
Last Name
Student Email 5
example@example.com
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Makerspace Reservation Details
Desired Date
*
-
Month
-
Day
Year
Date must be in the future (minimum 24 hours notice)
Please describe your project and explain how you plan to use the makerspace resources
*
Equipment and Tools
Select the equipment you plan to use
Laser Engraver
3D Printer
Electronic Station
Other tools - i.e. drill, hammer, pliers, sockets, etc.
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Section 4: Agreement of Lab Policies
Name (Printed)
*
First Name
Last Name
Signature
*
Today's Date
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: