MIS/IT Equipment Checkout Form

MIS/IT Equipment Checkout Form

If you are interested in checking out equipment for use in your classroom/school, please fill out the form below. Permission is based on use/purpose and availability.  You will receive a response ASAP.  Please understand it is the responsibility of the person checking out the equipment to contact MIS/IT to arrange a pick-up time.

Staff Name    


Phone Extension    

Email Address    

Dates Requested to

Equipment to Check Out


Laptops will only be provided for professional purposes such as educational conferences, meetings, etc.

Projectors will not be provided in case of a SMART projector failure.  All SMART projector issues should be entered on a work ticket at the MCS Help Desk.

Educational Purpose/Objectives:

Information below for MIS/IT Office Use only!

Approved by    



Equipment Returned as Issued    Yes    No

Date Returned    

Department Comments:


Security Measure