Smad Equipment Checkout Template - Spring 2013
Download a blank fillable Smad Equipment Checkout Template - Spring 2013 in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Smad Equipment Checkout Template - Spring 2013 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1SMAD Equipment Checkout – Spring 2013
Print Name_________________________________Sign______________________________________
By signing this form I am accepting full responsibility for the equipment I am checking out. I will be held financially responsible
to replace or repair equipment if lost, broken, stolen or otherwise damaged while signed out in my name. I also acknowledge
that falsification of information on this form is a violation of the Honor Code.
Contact Info: Phone# _________________________ Email ____________________________
Class_________ Project___________________________ Group__________
Equipment
: (circle appropriate)
Camera:
#1-PD170 #4-PD170 #6-NX5 #7-NX5 #8-NX5 #9-NX5
#10-NX5 #11-NX5 #12-NX5 #13-NX5 #14-Z1U #15-Z1U
#16-Z1U #18-Z1U #19-Z1U #20-FX1 #21-Z1U
#24-Z1U #25-Z1U #26-Z1U #27-V1U #28-V1U #29-A1U
Canon Consumer video cameras -
A
B
C
D
Still Camera: Sony - DSC#1-F707 DSC#2-P71
DSC#3-P71 DSC#4-S75
DSLR #5 #6 #7 #8 #9 #10 #11 Canon 60D #1 #2 #3 #4
Battery:
Large_______ Small_______ (Canon Video Cams use only Canon batteries)
Tripod:
#_________ (MUST match camera number)
Hand Cart:
________
Audio:
Shotgun Kit:_____ Hand Mic:_____ Wireless Mic:_____ Lav Mic:_____ USB Mic:_____
Short Shotgun:_____ Sennheiser Mic:_____ Sony MP3 Recorder______
Lights:
Light Kit #______
Camera Light________
Other:
________________________________________________________________________________
Date/Time Out______________________ Date /Time To Be Returned___________
________________
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
FOR STAFF USE ONLY
Checked Out By ________________________
Date/Time In ______________________ Checked In By _________________________
Problems – List Below
Check Here if more than 15 min late and file in Late slot _________
Return Checklist
_____
1. Camera properly stored in case with appropriate accessories
_____
2. Used batteries placed on charge !!!!
_____
3. Light kit checked for problems.
_____
4. Staff notified of any problems via email - wengerjt / hodgesjl
_____
5. All equipment returned to appropriate locations
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Life