Equipment Request Form

Instructor's Name: last, first
Department
  
KCC Phone ext: 1234
Other Phone #: xxx-xxx-xxxx
E-Mail: myname@kingsborough.edu (must be KCC email)
 

Device requested

Video Projector and Laptop  

27" TV Monitor
 
Computer Speakers Number of speakers requested:
 
Plasma or Smartboard  
     

details

Please enter the following details:

  • dates and times you need the equipment;
  • the room for delivery;
  • internet connection
Weekday Month Day

Time Period (please indicate AM or PM)

Lab/
Classroom		 Internet Connection Required?
From To
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes


Please be advised that our area will make every effort to satisfy your request. However, at times we have more requests than devices available. In such a case, equipment will be distributed on a first-come, first-serve basis.

Thank you for understanding.