AT&T Lab and Language Media Services Equipment Request Form
For a listing of equipment available for checkout please visit our page here
We are located in room 1202 Jiménez Hall, building #34.
The AT&T Lab is a 21 station computer lab located in 1205 Jiménez Hall.
Please make sure to come at least 10 minutes prior to your class to ensure a smooth checkout.

PLEASE MAKE SURE TO FILL OUT ALL INFORMATION
OR WE WILL NOT BE ABLE TO PROCESS YOUR REQUEST!!



Last Name: , First:

Email Address:

Campus Mailing Address:

Campus Phone:

Course Number Rubric: (e.g. FREN, ITAL, SPAN) Number:

Title:

Meeting Day(s) & Time(s) Please be specific:


What type of equipment are you requesting?
(if you are requesting the lab please list what you intend to use it for)


What is your Department FRS # (for billing purposes)?

What is the name of your Department Business manager.
(We need this to confirm that you can use the account)

Semester: Fall  Winterterm  Spring Summer Year:

BY PRESSING SUBMIT YOU ARE AFFIRMING THAT YOU HAVE READ AND UNDERSTOOD OUR POLICIES. IF THERE ARE ANY QUESTIONS REGARDING OUR POLICIES PLEASE EMAIL THE LMS SUPERVISOR.
Simply submitting this form does not guarantee equipment. Confirmation will be sent pending availability and authorization. If you have submitted a request and do not receive a confirmation or denial in 3 business days please contact the LMS Supervisor.