RAEON Equipment Loan Form Equipment requested: Quantity CFI # Date / length of use: From: To: Do you have experience with this equipment? Yes No If no, will you require assistance with calibration/deployment or use? Yes No Do you have funding available for any operating costs associated with this equipment? Yes No Please note: RAEON can provide technicians to assist with operation / calibration of equipment Is this equipment being used for a grant proposal? Yes No If yes, describe Please provide a brief project description: Name Email Institution Phone