Reserve Video Equipment (Appt to pick up from Education Dept. Office, McHenry 2140)
If Education Dept office is close please contact Matthew Garipay  mgaripay@ucsc.edu.  Hours for pick up will be Monday thru Friday by appointment only. 
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Email *
Name First and Last *
Cell Phone Number *
UCSC email *
Equipment Needed
(Check all that apply)
*
Required
What school are you assigned to for your student teaching?
(Due to a limited number of cameras, we might ask you to share the camera with another student at the same school.)
What school are you assigned to for your student teaching? *
What day would you like to pick up the equipment?
Please indicate  a date/time  you are requesting to pick up vidoe equipment and when you will be returning it. 
 
You will receive a confirmation (or request to change the date/time) via email from Matthew Garipay  mgaripay@ucsc.edu. 

The Education Office  hours vary from Monday thru Friday we are not available on the weekends.  

We will respond within 48 hours of the request; we will need 72 hours advance notice to arrange an appointment for pick up and drop off of video equipment. 

 Please email Matthew if you have any questions at mgaripay@ucsc.edu
Pick up video equipment *
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Return video equipment: *
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Time
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Who is your university supervisor?
(select the name of your supervisor)
*
Required
You will need to have your own memory card for the camera, and may need to charge the battery pack before use.
 (The cameras take SD, SDXc cards rated Speed Class 4, 6, or 10.)
I will make sure that *
Required
Do you agree to be responsible for the safe return of the media equipment you are checking out? *
Required
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