I.T. Equipment Authorization Form


George Fox Employee ("GFE")
GFE E-mail Address
GFE Phone Number (or extension)
GFE Account Number
Student Name
(For multiple students e-mail a list to IMS@georgefox.edu)
Student Phone Number
Authorization Period
Equipment Authorized: Selected items below All Items
16 mm projector Camcorder
Cassette Recorder CD Boom Box
Cart Digital Camera
Laptop LCD Projector
DVD Player MiniDV Camcorder
Microphone and accessories Overhead Projector
Portable PA Record Player
Screen Slide Projector
Tripod TV
VCR White Board or Flip Chart Easel
Wireless Microphone

Equipment is reserved on a first-come, first-served basis. The above checked equipment will be reserved and issued under the name of the George Fox employee. The employee is responsible for the timely return of the equipment and the condition of the equipment. Any damage to the equipment will be charged to the employee's departmental account.

Requests for equipment should be made at least 48 hours before the equipment is needed.