SoCA Equipment Check Out

Student Name*

First Name

Last Name

VC Student ID Number*

Phone Number*

Reason for Request

Why are you wanting to check out this equipment?

Check Out Day*

How many items are you checking out?*

Item 1*

What equipment are you wanting to check out? Example: Camera Kit, Lens, Flash, etc.

Item 2*

What equipment are you wanting to check out? Example: Camera Kit, Lens, Flash, etc.

Item 3*

What equipment are you wanting to check out? Example: Camera Kit, Lens, Flash, etc.

Item 4*

What equipment are you wanting to check out? Example: Camera Kit, Lens, Flash, etc.

List Equipment Below*

What equipment are you wanting to check out? Example: Camera Kit, Lens, Flash, etc.

I acknowledge that I am hereby financially responsible for all equipment I have checked out, should anything be damaged, lost, or stolen, while in my care.

Equipment is only eligible to be checked out for 24 hours and must be returned the next day.

Check-outs and Check-ins can only happen through the SoCA Administrative Student Worker. Please do not drop equipment off at the VC front desk.

You may only Check-out/Check-in equipment during the times listed below:
Monday 1:00pm - 5:00pm
Tuesday 12:30pm - 2:00pm
Wednesday 1:00pm - 5:00pm
Thursday 12:30pm - 3:00pm

Signature*

[clear]

Use your mouse or finger to draw your signature above

SoCA Equipment Check Out Request