Mesa Public Schools Equipment Loan Agreement
ADVERTISEMENT
1Mesa Public Schools
Equipment Loan Agreement
Equipment may be loaned to employees or students for DISTRICT ASSIGNED PROJECTS OR
TASKS ONLY. Loan agreements must be approved by a Department Director or Principal. A
copy of the completely loan agreement form must be forwarded to Property Management.
If loaned items are lost, stolen, or in need of repair upon return, the employee or student
(parent/guardian) will be held financially responsible for replacement or repair.
Use of equipment for non-district assigned tasks must be approved by the Superintendent of
Governing Board in accordance with Governing Board Policy EDC.
Person Checking Out Equipment (circle one)
Employee
Student
Employee/Student Name
School
POSTON JUNIOR HIGH
Home address
Home Phone
Work/Other Phone
District-Assigned Task or Project for Which the Equipment is Being Used
Description of Equipment Being Loaned
Instrument Type:
Mouthpiece:
.
Model Number:
Accessories:
.
Barcode
Serial Number
Excellent
Good
Fair
Poor
Barcode
Serial Number
Excellent
Good
Fair
Poor
Barcode
Serial Number
Excellent
Good
Fair
Poor
Dates Item Will Be Loaned
Additional Terms/Comments
From:
/
/
.To:
/
/
.
Released to:
Released by:
__________________________________________
_______________________________________
Signature of Employee/Student
Date
Signature of Department Director/Principal
Date
__________________________________________
_______________________________________
Signature of Parent/Guardian (if applicable)
Date
Printed Name of Department Director/Principal
Returned to:
Receipt Notes:
Excellent
Good
Fair
Poor
__________________________________________
:___________________________
Repairs needed
_______________________________________
Signature of Department Director/Principal
Date
.
For questions related to this form, please contact Property Management at 472-0973
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business