The University of British Columbia

Department of Civil Engineering

Audio-Visual Equipment Pre-Reservation & Authorization Form

This form must be sent via email to

INSTRUCTIONS FOR THE USE OF DEPARTMENT VAN AND TRUCK:

·  Please complete the (*) areas before forwarding an electronic copy to .

·  Note that the Faculty Supervisor’s email approval is required before equipment will be given out.

* Requested by: / * Email:
* Today’s Date: / * Phone No.
* Required Date: / * Required Time:
* Return Date: / * Return Time:
* Location of Use:
* Faculty Supervisor: / * Email Approval Attached

Equipment Request:

PROJECTORS:
EPSON S1/Powerlite / SANYO
EPSON S1+ / HP SB21
EPSON S3
LAPTOPS/TABLETS:
Compaq Presario Laptop (Reserved for use CEME 2004)
Equiped with: Windows Vista, Office 2007 / Asus Eee PC T101MT Tablet 1
Equiped with: Windows 7, Office 2007
HP Touchsmart Tablet
Equiped with: Windows 7, Office 2003 / Asus Eee PC T101MT Tablet 2
Equiped with: Windows 7, Office 2007
Lenovo Edge 1 / Lenovo Edge 2
DIGITAL CAMERAS/VIDEO CAMERAS:
CANON Powershot Digital Camera / SONY DVD Camcorder 200
NIKON Digtal Camera / ELMO – Document Camera
*Cameras include rechargeable batteries and charger. Please ensure batteries are charged upon return.
AUDIO EQUIPMENT/DEVICES:
POLYCOM Digital Conference Phone / POLYCOM Analog Conference Phone
MISCELLANEOUS:
Laser Pointer / Quantity:
SMART BOARD SET UP:
Set-Up Assistance (require at least 1 hour notice prior to event)

Please list any additional / peripheral items or cables requested:

G:\Admin\Admin Directory\CIVL Admin Forms\Equip & Vehicle Forms\AV Equipment Authorization Form.doc Updated: 2013-02-26