Computer Lab Entry Log Form
Please fill out this log each time you enter the computer lab. All fields are required to maintain accurate records of lab use.
Full Name
*
First Name
Last Name
Affiliation
*
Please Select
Student
Faculty/Staff
Visitor/Guest
Other
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Entry
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time of Entry
*
Hour Minutes
AM
PM
AM/PM Option
Workstation or Computer ID
*
Purpose of Visit
*
Please Select
Classwork
Research
Printing/Scanning
Personal Use
Other
Estimated Duration (minutes)
Additional Comments (optional)
Submit Entry
Should be Empty: