SCAC Equipment Checkout Request Form

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Submit this form to request use of SCAC equipment off-campus. By signing below, I acknowledge that the requested equipment belongs to the San Carlos Apache College. I assume all responsibility for the equipment once it is loaned out to me, including in the event that it is lost or damaged, until it is marked as “Returned” by the SCAC IT Officer. I will return this unit to the SCAC IT Office no more than two weeks after I stop taking classes with Apache College.

Email *

Student First Name *

Student Last Name *

Best Phone Number to Reach You *

One Class You're Taking This Semester *

(for eligibility verification)

Equipment Requested *

For example, Chromebook laptop

A copy of your responses will be emailed to the address you provided.

Submit

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