Equipment Rental Form - High School for Media & Communications
What is your name?
Please provide your cell phone number or a room extension
In which room will the equipment(s) be used?
For example: Room 123
Which electronic device(s) do you wish to rent out?
Macbook Pro Laptops Charts
Mac Lab - Room 101
Smart Board Document Camera (2 Counts)
What date do you need this equipment(s)?
What date will the equipment(s) be returned?
In which day of the week you wish to rent out the equipment?
Note: You can select multiple days of the week
Select the period(s) you wish to rent out the equipment?
Note: You can select multiple periods if needed. *For the Mac Lab, there may be a conflict with Mr. Montalvo's Photoshop class which is currently held in the Mac Lab. If you need to request the Mac Lab during this time, please come see me.
How will the students be using this technology?
Example: iMovie, Animations, Web Design, etc.
What is your NYCDOE or HSMC email address?
By typing your full name in text box below, you agree that you will be accountable for all equipment being rented during the time requested. Also, it is your responsibility to return the electronic devices to room 104 when you are done with the rental. If there’s any equipment (such as mac-book pro, laptops, mouse, keyboard, etc.) missing, you will be liable for the replacement of the missing equipment. Also, please DO NOT provide students with the admin or teacher log in criteria; there is a student log in on every computer for their use. If any problems occur with any of the equipment, please report them to Raymond Martinez at
Please type your FULL NAME to process this request.
Send me a copy of my responses.
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