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Equipment Loan Contract
Office for Students with Disabilities

 

This is a contract that must be signed and dated in order to borrow the following equipment.

In order to borrow the [description of equipment]_______________________________________,
I agree to abide by the following:

  1. I will be responsible for returning the equipment in its original condition and will pay for any damages to the equipment or loss of the equipment.
  2. If these responsibilities are not met, my grades and transcripts will not be released and I will not be able to register for the next semester until these conditions are met.

Inventory #: Semester/Year:
Student Name: Soc. Sec. #:
Student's Signature: Date:
Counselor's Name: Date to Return:
Counselor's Signature: Date Returned:

Equipment Form in MSWord


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Last updated 05/13/02 [merrick]