Student Affairs IT > Student Voice iPod Request Form

Student Voice iPod Request Form

Complete the request form below to reserve Student Voice iPods. Availability is on a first-come, first-served basis. You must be an approved borrower to check out iPods. How do I become an approved borrower?

* All fields required

* First Name

* Last Name

* Department Name

* E-mail Address

* Phone Extension

* Name of Student Voice assessment this is supporting

* Number of iPods Needed

* Check out Month

* Check out Day

* Check out Hour

* Check in Hour

* I am a full time staff member of Student Affairs
Yes
No

* I have been approved by my director as a borrower
Yes
No

What You'll Need

Usage Policy & Checkout Procedure
Borrower Approval Form
SALT presentation