This form is intended for use when a student or faculty member is requesting to use GPS equipment under the care of the Social Science Instructional Labs (SSIL) and must be submitted at least 48 hours before you wish to pick up the unit(s). GPS equipment will be loaned out at the discretion of SSIL.

Person Checking out the GPS Unit

First name	Last name
Student ID	E-mail address
Street	City
State/Province	Zip code
Phone number
Reason for requesting a GPS unit?

Dates you will use the unit? (GPS units are generally to be returned within 72 hours)

Date to pick up GPS:

Date to return GPS:

Check Device Availability

One or more of the devices you have selected require faculty approval.
If you are a student, please obtain faculty approval before filling out this form.
If you are a faculty member, please fill out the details below.
A confirmation email will be sent to the email address provided below.

Faculty First Name	Faculty Last Name
Faculty Department
Faculty E-mail
Additional notes (optional)

Please make sure this box says DUCKS (we use this to prevent spam)