CEHD EQUIPMENT SIGN OUT SHEET

Equipment to be used to support the College of Education and Human Development (CEHD) can be reserved on a first come/first served basis. If you have questions, please contact Distance Technology at 979-845-1111 or distance help@coe.tamu.edu or stop by room 434B Harrington Tower.

Borrower's First Name Borrower's Last Name

Phone Email

CEHD Dept. Borrower =Graduate Student, Professor, and/or Staff member from CEHD.

If Borrower is a Graduate Student, then input Professor or Staff member's name associated with project or class Graduate Student is working with.

Professor's First Name Professor's Last Name

NAME OF EQUIPMENT THAT YOU ARE BORROWING

Date(s) Equipment Reserved

Date/Time to pick up the equipment (if different from above)

Date/Time Equipment will be Returned to room 434B Harrington

When you borrow this equipment, please understand that if you do not return it in the same condition that you borrowed it, you will be liable for the purchase of its replacement.

Borrower Sign Here: ___________________________________________ Date: __________

Distant Tech Sign and Date to indicate that Equipment Listed Above Has been Returned in Good Condition:

___________________________________________ Date: __________