/ Information Technology/ IT Service Desk Extended Loan Request

IT Service Desk Extended Loan Request

This form is used to request equipment for a longer loan period (more than 2 weeks) from the IT Service Desk.

All fields marked with asterisk (*) are required.

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Name*

required e-mail address field

Email address*

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Lewis & Clark ID#*

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Phone Number

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date field

Proposed Checkout Date (When would you like to get the equipment)

*If you already have the equipment checked out, please just fill out proposed return date.

required date field

Proposed Return Date (When would you return the equipment)*

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Equipment that you would like to borrow. You are able to see a list of our equipment on the SISO webpage: lclark.siso.co*

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Please explain why you would need the equipment longer than 2 weeks.*

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Please read the loan agreement form in the link below before electronically signing your name. By typing your name in the option below you are electronically providing your signature. https://drive.google.com/file/d/12rFPXV7wTotca8cvPwbwcHL_00pTTdJY/view

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Signature*

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Todays Date*

Link (required)