ETSC Reservation Form

ETSC Reservation Form
Reserve equipment, services or the Corey Lab from the Education Technology Services Center

This form must be submitted by 8:00 a.m. the business day prior to date requested.

Please fill in ALL fields to the double lines!

Request Date (mm/dd/yy) Time

Return Date (mm/dd/yy) Time

Faculty Name Area:

User Name Phone

Your e-mail address:
(a full email address, e.g., jsmith@berkeley.edu, is required for this request to be sent)
Faculty/Staff/Student/Other

Please fill out 1, 2, OR 3 below:

1. Course #
Instructor Room

2. Project Room

3. Area/Unit Room

Equipment /Rooms Requested

Quantity/ ID# Description of Equipment

Note: if you are checking out a projector, you may have to supply your own laptop video adapter. Our projectors have vga (DB-15), s-video and composite video inputs.

Comments:

Contact:
ETSC
emacsres@berkeley.edu
510-642-8420
1650 Tolman Hall
UC, Berkeley, CA

ETSC Reservation Form

This form must be submitted by 8:00 a.m. the business day prior to date requested.

Please fill out 1, 2, OR 3 below:

Equipment /Rooms Requested