Equipment Loan Form

Equipment Requested

Quantity(Required)

CFI#

First Date of Use(Required)

Month

Day

Year

Last Date of Use(Required)

Month

Day

Year

Do you have experience with this equipment?(Required)

Yes

Will you require assistance with calibration/deployment or use?(Required)

Yes

RAEON can provide technicians to assist with operation & calibration of equipment.

Is this equipment being used for a grant proposal?(Required)

Yes

Please describe the grant proposal.(Required)

Will the equipment support the training of highly qualified personnel (HQP)?(Required)

Yes

How many HQP will be supported?(Required)

Are you a member of an equity-seeking group, as established by the Government of Canada and the University of Windsor?(Required)

Yes

For additional information on EDI, please see our EDI Statement.

Do you wish to be considered for an EDI award?(Required)

Yes

For additional information on EDI Awards, please see our EDI StatementEDI Statement.

Please provide a brief project description(Required)

Name(Required)

First Last

Institution(Required)

Email(Required)

Phone

CAPTCHA

Name(Required)

First Last

Email(Required)

Phone

How can we help you?(Required)

Name

This field is for validation purposes and should be left unchanged.

Great Lakes Institute for Environmental Research
University of Windsor
2990 Riverside Drive West
Windsor, Ontario, N9C 1A2
Canada