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Laptop/iPad Check-Out Form
This form is for teaching staff members who are taking a laptop/iPad home for academic use over the summer. If you are taking your laptop and iPad home, you must fill out two forms.
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* Indicates required question
Enter your First Name
*
Your answer
Enter your Last Name
*
Your answer
Enter your Email Address
*
Your answer
Device checking out for the summer
*
Select one
Laptop
iPad
Required
Enter the Make of the Laptop
*
Example: Dell, Lenovo, HP or type iPad
Your answer
Reason for taking laptop/iPad out of the district
*
Your answer
Date latop/iPad is being take off site
*
Your answer
Date of planned return of the laptop/iPad
*
Your answer
I understand that I am financially responsible for this laptop/iPad while it is in my possession.
*
Yes
Required
I understand that if this laptop/iPad is damaged or in need of repair, it may not be available for me during the school year.
*
Yes
Required
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