iValidate Request Form

Complete and submit the following form 2 weeks in advance of event date.

Important Notice: iValidate will ONLY work on UMW secure network, available in or near most campus buildings. Please check for WiFi availability prior to reserving.

Availability:
Monday through Friday 8:00am to 5:00pm. iPad and readers are reserved on a first come first serve basis and EagleOne will let you know via the email address provided if we cannot fulfill your request.

iValidate Policy:
I understand that:

The requesting department assumes responsibility for iPad and iValidate reader.

The requesting department may be charged for any damage or loss to iPad or iValidate reader.

The requesting department assumes responsibility for any/all users of equipment, including students.

NO CHANGES should be made to the iPad software, configuration, settings or applications.

iPads will automatically log in to the secured network. Please do not try to change any network connection settings.

Contact & Department Information
Please enter the information for the department/group and the responsible contact individual.
Department/Group*
Department Contact*
First Last

Contact Phone*
Contact Email*

iValidate Pick Up:*
I am picking up the equipment
I am sending someone to pick up the equipment
Individual Collecting Equipment (valid ID required)*
First Last

Event Information
Please enter the event details.
Event Name*
Event Start Date*

Event End Date*

Brief Description of Event*
iValidate Request Information
Please provide request details.
Number of iPads/Readers Needed*
Pick Up Date*
Please provide the iPad and reader pick up date

Return Date*
Please provide the anticipated iPad and reader return date

Usage Type*
Please Note: Demographics will NOT be available for admission fee or retail sale.
Admission (No Charge)/Demographics Capture
Admission Fee
Retail Sale/Donations
Reader Functionality*
Additional Information/Special Instructions
FOAP Information
Please provide the department FOAP where collected funds should be transferred.
Fund*
Org*
Account*
Program*
Policy Acceptance
I have read and understand the iValidate policy and accept the usage terms.
Phone
This field is for validation purposes and should be left unchanged.

Availability:

iValidate Policy:

Contact & Department Information

Event Information

iValidate Request Information

FOAP Information

Make a Deposit

Vending Repair

Laundry Repair

Refund Request

iValidate Form

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