Student Device Check-Out Form 2018-19
Last Name *
Your answer
First Name *
Your answer
Team *
Teacher Name *
Which teacher are you using this device for?
Your answer
Device Type *
Your device should be labeled with the cart and the device number.
Device Number *
Type the number only (from the label on the lid)
Your answer
Pre-Existing Damage - Leave blank if device is in good shape
It there is a note acknowledging damage on the device, then you don't have to note the damage again. Leave this blank if there is no noticeable damage. If there is noticeable damage, we will be following up; notify your teacher as well so they can put in a work order.
Your answer
Submit
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