Equipment Loan Agreement
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1Equipment Loan Agreement
STUDENT INFORMATION
Name
___________________________________________________________
Student ID
_____________________
Email
_________________________
Quarter
_____________________
Phone
__________________________
EQUIPMENT INFORMATION
Description
___________________________________________________________
Equipment ID
__________________
Chair Location
_________________
Checkout Date
__________________
Due Date
_________________
Date Returned
__________________
Return Accepted By
_________________
The equipment described and documented on this form is being loaned under the
following conditions:
The equipment is to be handled carefully, not subject to abuse, solely by the above
named student.
Any recordings made from a recording device are for the student’s use ONLY. The
information will not be shared, posted to the internet, sold, or disseminated in any
other way.
If lost or damaged, the replacement cost will be the responsibility of the student.
Equipment will be returned by the end of each quarter.
A registration hold will be placed on the student’s college record until the
equipment is returned or replaced.
The student’s account will be sent to collections if equipment is not returned after a
certain date.
I understand the above stated conditions and agree to abide by this contract.
____________________________________________
____________________________
Student’s Signature
Date
____________________________________________
____________________________
DSS Representative
Date
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Parent category: Business