Appointment Request Form

Equipment Loan Request

*** If any property is lost or damaged while you are in possession of our equipment, we reserve the right to bill you student account directly. ***
We have two chromebooks that can be checked out for two weeks at a time and several calculators that can be checked out for an entire academic term. Comlete the form below and the Veteran Resource Center will email you back to confirm availiability and time of appointment.
Full Name*

First NameMiddle InitialLast Name
Phone*

Area CodePhone Number
WOU email*
WOU V#
What device are you interested in borrowing?*
Use the options below to give us a good idea of when would be an ideal time for you to pick up your equipment
What days work best for you?*

MondayTuesdayWednesdayThursdayFridaySaturday
What time works best for you?*

MorningAfternoonEvening
Any specific date/time?

MonthDayYearHourMinutesAM/PM Option
Should be Empty:

Equipment Loan Request