8330-F1 Instructional Equipment Loan Form
- 8000: Support Services
8330-F1 Instructional Equipment Loan Form
Name (please print) __________________________
Date of Issue __________________________
Expected Return Date (if applicable) __________________________
Equipment (and accessories if applicable) __________________________
Identification (asset or serial) number(s) __________________________
Purpose for Equipment Use __________________________
Condition of Equipment __Excellent __Good __Fair __Poor
Comments __________________________
__________________________
Borrower’s Signature
__________________________
Date
__________________________
Designated Lender’s Signature
__________________________
Date
By completing and signing this form, I acknowledge and agree to the following:
All use of the District’s technology/AV equipment will be for educational purposes only.
Borrower’s Liability: The borrower assumes all responsibility for equipment borrowed. Borrowers agree not to install software, alter system hardware or software configurations. The borrower of this equipment must be aware that they are responsible for full replacement costs if the equipment is lost, damaged or stolen. Borrower assumes responsibility for advanced notification to Information Technology (434-2308) if additional configurations are necessary. Support for district devices is available during normal school hours only. Any files saved onto borrowed equipment will be deleted immediately on return. It is the borrower’s responsibility to keep a copy of all data, as the district cannot accept liability for loss of data caused by hardware or battery failure, or for files left on equipment once it is returned.
Installed Software: Only district owned/licensed software can be used on a district owned device. Requests for software installation may be considered if requests are made at least one week in advance and dependent on licensing conditions and availability of staff to perform the installation.
Security and Safety: Equipment must not be left unattended at any time. To do so is to invite theft and may possibly be considered a data breach. Keep the equipment with you at all times when in a public place. In the event of loss or damage to the equipment, the Designated Lender must be contacted immediately. In the event of theft the borrower must make a police report immediately.
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ACTUAL Return Date __________________________
Condition Of Equipment __Excellent __Good __Fair __Poor
__________________________
Borrower’s Signature
__________________________
Designated Lender’s Signature
White: Borrower Yellow: Lender Green: Borrower upon return
APPROVED 12/19/13
Revision Approved: 10/19/23
Revision Approved: 05/21/25
Revision Approved: 05/20/26