CSD Equipment Return Form PLEASE FILL OUT THE FOLLOWING:Name* First Last Email* Today's Return Date* (i.e 05/01/2017)Please select your campus:* Storrs Hartford Stamford Avery Point Waterbury What semester was the equipment loaned for?* Fall 2017 Winter Intersession 2017 Spring 2018 Whole Academic Year What equipment was borrowed?* Echo Smartpen Bluetooth Smartpen Digital Recorder Other If Other:*If you selected other above, what type of technology was loaned?Echo Smartpen Code:*Code located on back of pen (i.e. E-000)Bluetooth Smartpen Code:*Code located on back of pen (i.e. B-000)Digital Recorder Code:*Code located on back of recorder (i.e. R-000)Technology Code:*Code located on back of technologyWould you like to use this equipment next semester?* Yes, I will pick up this equipment next semester. No Please provide us with your feedback, your review is greatly appreciated!* The technology was difficult to use. The technology did not meet my needs. I would like to explore other technology that is available for me. I will not be returning next semester (i.e., graduating, transferring, etc.) Other If you had selected 'Other', please let us know your thoughts!