Equipment Circulation - Student Reservation Form

Please fill out all required fields to request the reservation of equipment belonging to Academic and Institutional Technology. Equipment reservations should be submitted at least one business day before pickup. A confirmation email will be sent when the reservation has been approved and processed.

If you are a representative of a student club, organization, or ResLife and have been pre-authorized to reserve special equipment please fill out the Equipment Circulation - Employee Reservation Form.
Name*

First NameLast Name
Email*
example@my.wheaton.edu
Student ID number*
Equipment Pickup?
Equipment Return?
Form State

Pickup Equipment
Confirm All Beachtek Equipment Is Present*
Confirm all MVi Laptop Interface Equipment is Present*
Confirm LTIBLOX Equipment is Present*
Confirm Sony IC Recorder is Present*
Confirm All Blue Ray Player Equipment Is Present*
Confirm iPad Equipment Is Present*
Confirm All Camcorder Equipment Is Present*
Confirm Clapboard is in Working Condition*
Confirm All Parts of the Extension Kit are Present*
Confirm Headphones are in Working Condition*
Confirm Headset is in Working Condition*
Confirm All Mac Laptop Equipment Is Present*
Confirm Pickup of Lav Mic*
Confirm All HP Stream Equipment Is Present*
Confirm All Revolabs Mic Equipment Is Present*
Confirm All Clicker Equipment Is Present*
Confirm All Projector Equipment Is Present*
Confirm All Floor Projector Equipment Is Present*
Confirm All Portable Projector Equipment Is Present*
Confirm Projector Screen is in Working Condition*
Confirm Pickup of SD Card Reader*
Confirm All Denon Equipment is Present*
Confirm All Portable Speaker Equipment is Present*
Confirm All TV Equipment is Present*
Confirm Pickup of TV*
Confirm Pickup of Logitech Webcam*
Confirm Pickup of Desktop Webcam*
Confirm Pickup of USB Microphone*
Confirm Pickup of DisplayPort to DVI Adapter*
Confirm Pickup of DisplayPort to HDMI Adapter*
Confirm Pickup of DVI to VGA Adapter*
Confirm Pickup of Lightning to HDMI Adapter*
Confirm Pickup of Lightning to VGA Adapter*
Confirm Pickup of Mini DisplayPort to HDMI Adapter*
Confirm Pickup of Mini DisplayPort to VGA Adapter*
Confirm Pickup of Mini DisplayPort to VGA/DVI/HDMI Adapter*
Today's Date
Pickup Notes
Customer Pickup Signature

Clear
Technician Pickup Signature

Clear

Equipment Return
Confirm All Beachtek Equipment Is Present*
Confirm MVi Laptop Interface is Present*
Confirm LTIBLOX Equipment is Present*
Confirm Sony IC Recorder is Present*
Confirm All Blue Ray Player Equipment Is Present*
Confirm iPad Equipment Is Present*
Confirm All Camcorder Equipment Is Present*
Confirm All Revolabs Mic Equipment Is Present*
Confirm Clapboard is in Working Condition*
Confirm All Parts of the Extension Kit are Present*
Confirm Headphones are in Working Condition*
Confirm Headset is in Working Condition*
Confirm All Mac Laptop Equipment Is Present*
Confirm Return of Lav Mic*
Confirm All HP Stream Equipment Is Present*
Confirm All Clicker Equipment Is Present*
Confirm All Projector Equipment Is Present*
Confirm All Floor Projector Equipment Is Present*
Confirm All Portable Projector Equipment Is Present*
Confirm Projector Screen is in Working Condition*
Confirm Return of SD Card Reader*
Confirm All Denon Equipment is Present*
Confirm All Portable Speaker Equipment is Present*
Confirm All TV Equipment is Present*
Confirm Return of Sony TV*
Confirm Return of Logitech Webcam*
Confirm Pickup of USB Microphone*
Confirm Return of DisplayPort to DVI Adapter*
Confirm Return of DisplayPort to HDMI Adapter*
Confirm Return of DVI to VGA Adapter*
Confirm Return of Lightning to HDMI Adapter*
Confirm Return of Lightning to VGA Adapter*
Confirm Return of Mini DisplayPort to HDMI Adapter*
Confirm Return of Mini DisplayPort to VGA Adapter*
Confirm Return of Mini DisplayPort to VGA/DVI/HDMI Adapter*
Confirm Return of Desktop Webcam*
Data of Reservation Pickup
Return Notes
Customer Return Signature

Clear
Technician Return Signature

Clear
Should be Empty:

Reserve Equipment Here

Pickup Equipment

Equipment Return