Instructional Technology Equipment Authorization Form

Authorization form for a student to use media and/or equipment on the Marywood Campus

Please arrange for	_______________________________________________________
	(student)

to use	_______________________________________________________
	(media) (call number) (title)

equipment	_______________________________________________________

in my class	_______________________________________________________
	(course title)

on	_______________________________________________________

	(date)

from	_______________________________________________________
	(time) to (time)

	I understand that the material will be returned after class.


	_______________________________________________________
	(Instructor/Advisor/Supervisor)

Form in PDF format

The Marywood University Help Desk is located on the 2nd floor of the Library
Contact us: helpdesk@marywood.edu ~~ (570) 340-6070