MACHINE SHOP
STUDENT WORK REQUEST
TO:
John Graham (ext. 3216)
2207 MRDC
FROM: __________________________________________________
ext. ______________
(Faculty Signature)
I am requesting that Mr./Ms. __________________________________ be allowed to use the
work shop facility. He/she understands that John Graham is in charge of this area and
that his/her work must be supervised at all times. It is further understood that this
authorization applies only to the hours of 8:00am to 4:00pm each day. The machine(s)
used MUST be cleaned daily and all tools properly stored.
I also understand that I (faculty member) am responsible for replacing tools, bits, and
accessories broken by this student. (Does not apply to undergraduate lab courses).
ALL SHOP RULES MUST BE OBEYED OR SHOP PRIVILEGES WILL BE DISCONTINUED.

He/she has a working knowledge of the following machine(s):
 Band Saw

CNC
 Lathe(s)

Sander
 Vertical Mill

Welder

Approved:
Drill Press
_______________________________________________________ Date_____________
(John Graham)
PERSONAL INJURY RELEASE
The student also agrees that the faculty, staff and the Institution
(Georgia Institute of Technology) are in no way responsible for any
damages or injuries resulting from this arrangement.
STUDENT SIGNATURE: ___________________________________________
MAW12