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Faculty & Staff Resource Reservation Form

Please select, check and fill in all items. Incomplete forms will not be accepted by the reservation system.

Reservations are loaded into the system on a "First Come, First Served Basis".

No prioritization is given to any student or faculty member.

Please submit one filled in form for each requirement (i.e. one for each course).

Computer Lab technical support is available @:

Phone (off-campus): (254) 519-5466

Phone (on-campus): 5466

**Personal Information:**
Your First, & Last Name Your Email Address	Today's Date, & Time Your Phone Number
Instructor's or Employee's Name (or same)	Course Number or Event (i.e. Planning Retreat)	Course Section or use XXX for event

Destination:
*Select one destination option and fill in the "Room Number or Other information.
CTC Ft. Hood Education Center Shoemaker High School Tarleton - Central Texas Main Building Tarleton - Central Texas Library	TMATE Other (please explain below) Room Number or Other Destination

**Required Resources:**
Air Card Camera Datashow Extension Cord Laptop Other (specify)	Powerstrip Projector Overhead Projector TV VCR

**Pickup and Return Date and Time:**
Pick-Up Date and Start time	Return Date and End Time

Days Needed:
*Resources for weekend reservation need be picked up on Friday between 10:00 am and 4:00 pm.
Monday Tuesday Wednesday Thursday Friday	Monday and Wednesday Tuesday and Thursday Monday, Tuesday, Wednesday and Thursday Other Sequence (specify below)

**Please enter any equipment configurations desired, special needs, etc. (optional):**