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8330-F1 Instructional Equipment Loan Form

  • 8000: Support Services
8330-F1 Instructional Equipment Loan Form

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*if applicable

Name                                                                                                    Date of Issue                        EXPECTED Return Date                                                     

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

 

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