FIELDS MARKED WITH * ARE REQUIRED!

                                                Full Name:*

                                           E-Mail Address:*

                    Cell phone number, including area code 

                                                 EE course 
                Please select one
                EE-210 Electrical Measurements Laboratory
              	EE-211 Electric Circuits Laboratory
				
				EE-314 Electromagnetic Energy Conversion Laboratory
				
				EE-317 Electronics Laboratory I
				EE-340 Electronics Laboratory II
				EE-346 Digital Logic Laboratory
				EE-428 Digital Signal Processing Laboratory
				
				EE-468 Control Systems Laboratory
				
				EE-496 A,B,C Senior Design
              

 Lab number, or page of the manual that you are working on 

                                         Type of equipment 
                Please select one
                Educational Control Products Equipment
				
				Frequency Counter
				Logic Analyzer
				Lab Volt Communications Equipment
				
				Lab Volt Power Equipment
				
                Mulitimeter
                Oscilloscope
                Power Supply
				Signal Generator
                Spectrum Analyzer
              
          
                                    Equipment model number 

    White bar code, state tag number, located on equipment 
          
                  Room number that equipment is located in 
                Please select one
                A-209 Power Systems Laboratory
              	A-308 Electrical Engineering Senior Design
				
				C-156 EE/ME Controls Laboratory
				C-245 Communications Laboratory
				C-248 Electronic Design Laboratory
				
				C-249 Measurements and Circuits Laboratory
				
				C-251 Interface Design Laboratory
				C-252 Digital Signal Processing Laboratory
				
              

             Number on the top of monitor of this computer 
                Please select one
                ETC***-1
              	ETC***-2
				ETC***-3
				ETC***-4
				ETC***-5
				ETC***-5
				ETC***-6
				ETC***-7
				ETC***-8
				ETC***-9
				ETC***-10
				ETC***-11
				ETC***-12
				ETC***-13
				ETC***-14
				ETC***-15
				ETC***-16
              

                      Please describe in detail the symptoms of the equipment failure