Equipment Usage Agreement

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Name *

CGCC Student ID Number (if applicable) *

Are you in one of the following programs? Check box if so.

Early Childhood Education (ECE)

Manufacturing

Check all the boxes in this list to indicate your understanding of the following:

I will inspect the equipment I am renting to confirm it is in proper working order and has all pieces.

I am using this equipment for academic purposes.

I will reimburse CGCC for the reasonable cost of repairs, parts, and replacement that arise due to damage or loss of the equipment I am renting.

This equipment cannot be used in violation of the law or of CGCC policies.

I will return equipment to one of the CGCC campuses on time, in as good of condition as when received except for normal wear and tear.

CGCC is not responsible for damage to any removable disk or loss of data that may occur due to malfunctioning equipment.

Required

Check box(es) of the equipment you are renting to indicate your understanding of the following replacement costs:

Dell laptop ($1,500) with charger ($65)

Laptop bag ($20)

Smartpen ($150)

Digital voice recorder ($200)

DVD player ($200)

Slide projector ($120)

Huion pen tablet ($50)

Webcam with microphone ($40)

Extension cord ($35)

Wired headphones with microphone ($20)

Calculator ($20)

Required

Please type your name to indicate you have read this form and agree with all of its statements.

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