Equipment Request Form

STUDENT DIVERSITY INITIATIVES EQUIPMENT CHECKOUT FORM
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I UNDERSTAND THAT I AM RESPONSIBLE FOR THE EQUIPMENT WHILE IT IS CHECKED OUT TO ME. IT MAY BE REMOVED FROM CAMPUS ONLY FOR OFFICIAL BUSINESS OF THE UNIVERSITY. WHEN IT IS REMOVED, THE INDIVIDUAL REMOVING IT ASSUMES RESPONSIBILITY. I MAY ALSO BE CHARGED A FEE FOR THE REPAIR OF ANY DAMAGE THAT OCCURS TO EQUIPMENT WHILE IN MY POSSESSION. BY FILLING IN THE SPACE BELOW I AGREE TO THE STATEMENT ABOVE.