JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Lincoln Academy Technology Loan Form
Lincoln Academy’s Technology Department has several laptops available for long term loan to students in need. Please review the
loan policy
.
In cases where a student needs a long term loan of a computer, please complete this form.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
I am completing this as the:
*
Parent or Guardian
Student
Your Name
*
Your answer
Your Phone Number
*
Your answer
Student's Name
*
Your answer
Student's Year of Graduation
*
2024
2025
2026
2027
Reason for Loan
*
Your answer
Expected end date of loan
Borrowing technology only for the duration needed and returning it promptly helps us maintain inventory to loan to additional students as need arises.
*
MM
/
DD
/
YYYY
ACKNOWLEDGEMENT
*
I acknowledge that I have read the LA Long Term Loan policy and understand that if the technology is not returned in good working order I may be charged the replacement value.
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Lincoln Academy.
Report Abuse
Forms
