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

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

Yes No

If yes, how many HQP will be supported?

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

Yes No

If yes, do you wish to be considered for an EDI award?

Yes No

Please provide a brief project description:

Name

Institution

Phone

Your Name

Your Email Address

Your Phone Number

How can we help you?

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