Equipment Check Out Form | TRIO Student Support Services

Date*

Name*

First Last

Aggie ID*

Current Mailing Address*

This address will be used to send your equipment to you

Street Address Address Line 2 City State Zip Code

Phone*

Email*

Equipment Needed*

Please check off all equipment you need to check out.

Calculator
Clicker
Voice Recorder

Calculators*

Please choose the calculator you would like to check out.

Basic
Business - BAII Calculator
TI-30X
TI-83
TI-84
TI-89

Consent*

I agree to and understand the following stipulations:

1) It is my responsibility to properly care for the equipment. I agree to return equipment with all of the original power cords, batteries, and accessories.

2)I am responsible for any damage or loss (including loss from theft) of equipment from the time I take possession to the time I return equipment to TRIO SSS (homeowner's insurance may cover theft, check with your homeowners insurance)

3) I agree to return the equipment on equipment due date or forfeit my future privileges. I will be responsible to TRIO SSS for the replacement cost for the equipment.

4) I understand that if I fail to return the equipment that a hold may be placed on my university account. A hold could result in not being able to register, transfer, or graduate. I understand I could face criminal charges if equipment is not returned or if cost of equipment lost/stolen is not refunded to TRIO SSS.