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ODNA System Support
Grand Forks, ND
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ODNA System Support
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Equipment Checkout Form
Personal Information
First Name:
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Last Name:
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Email Address:
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Invalid format.
Supervisor Email:
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Reason for Request:
Work Travel
Using on Campus
Working from Home
Other (specify)
Please select an item.
If Other:
Date Needed:
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Until:
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Equipment Request
What equipment will you be checking out?
Laptop
Minimum number of selections not met.
Projector
Projection Screen
Laptop Information
The following programs will be included by default: Groupwise, Microsoft Office, Internet Browser, Adobe Acrobat, Java, Flash Player, and FoodPro.
Please list any additional programs required:
Will you need DVD Playback capabilities?
Yes
No
Additional Information
Do you need technical assistance with setup?
Yes
No
Will you be picking up the equipment? (available between 8a-4p M-F)
Yes
No
If not picking up, please provide further instructions:
Time Needed (e.g. 2pm):
Until:
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