Technology Lab Employee Check-in Form
Please complete this form to check in to the technology lab and record your equipment usage.
Employee Full Name
*
First Name
Last Name
Employee Email Address
*
example@example.com
Employee Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Department
*
Please Select
Engineering
Research & Development
Information Technology
Support
Other
Employee ID Number
*
Date and Time of Check-in
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Purpose of Visit
*
Please Select
Routine Work
Equipment Maintenance
Project Work
Research
Other
Equipment to be Used or Checked Out (select all that apply)
Laptop
Desktop Computer
3D Printer
Oscilloscope
Soldering Station
Other
Supervisor or Manager Name (if applicable)
Additional Notes or Requests
Check In
Should be Empty: