Name:*

	Email:*

	Extension:*

	Which resources do you need?* NOTE: *1 laptop cart = 8 laptops. You cannot check out a laptop cart if you have not completed phases 1 & 2. *English teachers are given priority in the English lab, if available, this is open to others 2 days prior to the available date.
	Library Tables    Library Computers    Laptop Cart 1    Laptop Cart 2    Laptop Cart 3    English Lab    Lab 402    Lab 405

	On what date would you like to use the facilities?*
	mm/dd/yyyy

	Which period(s) do you need?*
	1st    2nd    3rd    4th    5th    6th    7th    Before School    After School    Other, please specify

	Please describe any additional equipment you wish to use.

	Please give a brief description of the lesson you will be teaching.*