Media Lab Reservation Form 1 Personal Information2 Lab specifics3 Reservation Details Name* First Last StudentYesNoTeacher*AffiliationEmail* Phone Type of research Eye Tracking Cubicles Phone Survey Observation Meeting Other Please note you will need keys for this lab. For more information please contact Marco Otte (m.otte@vu.nl).Passport/drivers license number* Amount of days*OneMultipleDate* Date Format: MM slash DD slash YYYY Start date* Date Format: MM slash DD slash YYYY End date* Date Format: MM slash DD slash YYYY Start time* : HH MM End time* : HH MM Which days of the week Monday Tuesday Wednesday Thursday Friday Number of peopleFrequency*OnceSeriesDescription*
Network Institute