Long Term Reservation Request Form

The Grad Lab is pleased to offer a pilot program for long term reservations.

If you are interested in submitting a Long Term Reservation Proposal please read through the Long Term Reservation Policy and use the form below to submit a Long Term Reservation Request.

Grad Lab Long Term Reservation Policy:

All Long Term Reservation Proposals must be submitted at least one week in advance of the proposed reservation pickup date/time.
Proposals must include a clear and detailed description of the project that the equipment will be used for.
Proposals must also include a clear and detailed rational for why a Long Term Reservation is needed.
The proposed Long Term Reservation’s start and end times must fall on weekdays (Monday through Friday) within the Grad Lab’s scheduled operating hours.
Long Term Reservations cannot exceed 2 weeks in duration.
Equipment requested cannot conflict with any existing reservation.
Long Term Reservation Proposal approval is contingent upon availability of the equipment and staffing needed to fulfill them.
All Grad Lab policies apply to Long Term Reservations as outlined in the Grad Lab Terms and Conditions Form.

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Student ID:

MICA Email Address:

Description of project equipment is needed for:

Rationale for why long term checkout is needed:

Proposed reservation start date/time (at least 1 week lead time):

Proposed reservation end date/time (2 week max):

Equipment requested. Please list each Grad Lab equipment number and it's alternate(s) in a separate field:

Equipment requested. Please list each Grad Lab equipment number and it's alternate(s) in a separate field:
	Equipment requested. Please list each Grad Lab equipment number and it's alternate(s) in a separate field:	Item weight

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