Reserve SMART Board

Page 1 of 1     Reserve SMARTBOARD   This form must be filled out at least 24 hours before you will need the SMARTBOARD. If you have an emergency and need it immediately or have questions about checkout contact Tim Richard at 962-7052 or Alex Theodoropoulos at 962-7248.   1. Your Name*       2. Your Phone Number*       3. Your Email Address*       4. Your Office Number*       5. Course Title*       6. Room number where the SMARTBOARD is needed*       7. Date Needed* The value must be between 04/01/2007 and 04/01/2015, inclusive.   mm/dd/yyyy     8. Start Time* Be sure to specify A.M. or P.M.       9. End Time* Be sure to specify A.M. or P.M.       10. Would you like assistance in setting up and/or putting away the equipment?*   --Please Select--Yes No     11. Course(s) Impact* Please list the course(s) that this technology will impact       12. Student Impact* Please list the number of students that this technology will impact.       13. Additional Comments or Questions

For more information about the Watson School of Education, please contact us at (910) 962-3807