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iValidate Request Form
iValidate Request Form
Complete and submit the following form
2 weeks
in advance of event date.
Important Notice: iValidate will ONLY work on the UMW secure network "UMW-AUX", 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
*
Required
Department Contact
*
Required
First
Last
Contact Phone
*
Required
Contact Email
*
Required
iValidate Pick Up:
*
Required
I am picking up the equipment
I am sending someone to pick up the equipment
Individual Collecting Equipment (valid ID required)
*
Required
First
Last
Event Information
Please enter the event details.
Event Name
*
Required
Event Location
*
Required
Event Start Date
- must be mm/dd/yyyy format
*
Required
Date Format: MM slash DD slash YYYY
Event End Date
- must be mm/dd/yyyy format
*
Required
Date Format: MM slash DD slash YYYY
Brief Description of Event
*
Required
iValidate Request Information
Please provide request details.
Number of iPads/Readers Needed
*
Required
1
2
3
Pick Up Date
- must be mm/dd/yyyy format
*
Required
Please provide the iPad and reader pick up date
Date Format: MM slash DD slash YYYY
Return Date
- must be mm/dd/yyyy format
*
Required
Please provide the anticipated iPad and reader return date
Date Format: MM slash DD slash YYYY
Usage Type
*
Required
Please Note: Demographics will NOT be available for admission fee or retail sale.
Admission (No Charge)/Demographics Capture
Admission Fee
Retail Sale/Donations
Policy Acceptance
*
Required
I have read and understand the iValidate policy and accept the usage terms.
Reader Functionality
*
Required
One Set Price
Multiple Price Points
Additional Information/Special Instructions
FOAP Information
Please provide the department FOAP where collected funds should be transferred.
Fund
*
Required
Org
*
Required
Account
*
Required
Program
*
Required
Name
This field is for validation purposes and should be left unchanged.
Mission Statement
Terms and Conditions
Students
Faculty & Staff
Guests
Vending & Off-Campus
FAQs
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Incoming Students
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Vending Repair
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Appointment Request
Refund Request
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