Instructional Technology Equipment Checkout Form
Please fill out this form to reserve times to check out equipment from the Instructional Technology Team. Before requesting items please check out the calendar: https://goo.gl/sOZC63
First Name *
Your answer
Last Name *
Your answer
School *
Your answer
Room Number *
Your answer
Which items do you want to check out? (Items can be checked out for one week at a time) *
Required
If there is more than one of an item, how many are you requesting?
Your answer
Provide a brief explanation of your plan to implement the tools in your classroom. *
Your answer
What is the starting date for the equipment? *
MM
/
DD
/
YYYY
What is the end date for the equipment? *
MM
/
DD
/
YYYY
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