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FMA Library Media Sign-In and Checkout Form
Thank you so very much for visiting the FMA Library Media Center today. Please fill out this short form so that we maybe able to serve you better.
Dr. Bannister, PhD.
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First and Last Name
Your answer
Today's Date
MM
/
DD
/
YYYY
Time
Time
:
AM
PM
Reason for coming to the library media center
Check
Checkout a Chromebook
Borrow a Chromebook charger
Get a new Chromebook
Get a New Charger
Borrow a pair of headphones
Study
Work on an assignment
Returning borrowed equipment
Get a New Hotspot
Check
Checkout a Chromebook
Borrow a Chromebook charger
Get a new Chromebook
Get a New Charger
Borrow a pair of headphones
Study
Work on an assignment
Returning borrowed equipment
Get a New Hotspot
Reason for borrowing a Chromebook, charger or headphones
Your answer
Reason for getting a new Chromebook / Charger or Hotspot
Your answer
Chromebook #
Your answer
New Hotspot SSID #
Your answer
Last Period Teacher
Your answer
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