Chaminade Information Systems
Technology Checkout Form
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Borrower’s Information

Name Home Phone Campus and Department

Check out Date:      Agreed return date:

Equipment Information

Type Model Serial Number

 
Component and Software List

I understand that all borrowed equipment is property of Chaminade College Preparatory. I agree to borrow the equipment described above for my personal use only and return them to the M.I.S. department in the same condition and at the agreed return date.

I understand that I am responsible for any damage or loss of any component of the equipment described above  according to the M.I.S. departmental policies. In case of damage or loss I will replace the equipment with equipment of equal value and functionality as approved by the Director of M.I.S.

I will not install any additional software or change in any way the configuration of the equipment.

 

Borrower’s Signature: ______________________   Director of M.I.S.: ______________________