Equipment Request Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please fill out this form prior to picking up your equipment at Paige Hall. This will help us confirm the equipment you are requesting is available.

Please use your Tufts email.

Please reach out to education@tufts.edu if you have specific questions about equipment loans and times periods.

You will receive a response in 1-2 business days. Requests received on weekends or holidays will be responded to on the following business day.

Email *

First Name *

Last Name *

Email (tufts email) *

Phone Number

What course/project are you checking out equipment for? (Please describe project and/or list the Course ID *

What equipment would you like to borrow? (You may select multiple items) *

Digital Camera Kit for practicum work (includes video camera, tripod, SD card, carrying case, camera mounts)

Digital Camera (point and shoot photography and video capability)

Video Camera (specifically for video)

Tripod (Tabletop)

Tripod (Standing)

External micophone to plug into camera, cell phone, other recording device

SD Card reader/adapter

USB speaker phone/audio device to use with laptop or desktop

Laptop (limited availability)

Other:

Required

If you are checking out equipment to record classroom interactions in a k-12, setting, please check each of the following planning requirements that apply to your work. If you are not recording in a k-12 setting, please check "does not apply" *

I have obtained permission from the school site (usually the school or site administrartor) to record video

I still need to talk to my site supervisor/supervising practioner about video recording policies

I have provided the district or site video recording policy to my faculty member or advisor so I can be in compliance

I need help with finding information about my site video recording policies

Does not apply

Other:

Required

If you are checking out a camera kit or video camera to record in a setting outside k-12, please indicate which of the following you have completed. If this does not apply to your work, please select "does not apply" *

I will be documenting and recording for my research.

I will obtain video recording releases for anyone appearing in the video ,either using the department provided form or one approved by the IRB

I am not sure if my project requires video release permission and I am requesting help on this.

This does not apply to me.

Other:

Required

If you answered "yes" for Camera kit or for a camera, will you need help learning to use the camera?

Yes

Clear selection

Would you like help planning your video shoot? Please provide additional details.

Education Staff Availability

Please provide your top 3 check-out date preferences understanding that Education staff will be appointment between during Monday - Friday business hours. Date and time will be confirmed within 1-2 business day of submission. Requests received on a holiday or weekend will be replied to on the next business day.

Check-Out Date & Time 1st Choice *

YYYY

Check-Out Date & Time 2nd Choice *

YYYY

Check Out Date & Time 3rd Choice *

YYYY

Clear form

Never submit passwords through Google Forms.

This form was created inside of Tufts University. Report Abuse

Forms