Equipment Checkout Agreement

Equipment owned by BRIC may be checked out for student use by the staff/program person the equipment is regularly assigned to during the school year. All equipment checked out is to be identified and cared for appropriately.

Computers checked out are to be returned in the same condition as when they checked out. Please don’t download or install any software on this machine that does not pertain to the student’s educational use.

Equipment to be checked out (Please list all with serial numbers):

I understand that I or the Agency identified below is responsible for the care and maintenance of the equipment identified above from:

___________________ (Month/Year) to _________________ (Month/Year) and for returning all equipment in good working order.

_______________________________ __________________

Student Name Date

_______________________________ __________________

Parent Name Date

_______________________________ __________________

Instructor / Agency Date

_______________________________

Agency

Please return one copy of this form to the BRIC Office. Thank you.