Gavilan STEM Lending Library Request Form

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Gavilan STEM Lending Library Request Form - Spring 2023

The Gavilan College STEM Center offers a material lending program for STEM majors, student tutors, STEM Academy members, MESA students, and non-STEM major students enrolled eligible STEM courses.

***This request form also serves as your "Contract of Responsibility"***
By completing this form, you accept responsibility for the available requested material(s) upon loan.

-Materials and tech equipment are limited and are for lending to registered Gavilan students based on need.
-This form will not guarantee the availability of the item(s) requested. If you are NOT eligible for requested items, you will receive an email from Victoria Masey before your scheduled pick up date.
-The STEM Lending Library is for eligible students who are in good standing with the college, do not currently have holds on their student account, and/or have not failed to return previously loaned materials.

Email *

First Name *

Last Name *

Gavilan Student ID (e.g. G00######) *

Please re-type preferred email from above: *

Preferred Phone Number *

Check all boxes that apply.

Please note the STEM Academy is a membership that students need to apply for prior to the start of the semester. Applications for the STEM Academy are now closed.
Students may apply to the MESA program at any time: www.gavilan.edu/mesa
I am a:
*

STEM major

Non-STEM major

MESA student

STEM Center/Math Lab tutor

STEM Academy member (Precalculus or Calculus Academy)

Required

Material(s) Requested (check all that apply)

All students including non-STEM majors
-Scientific Calculator
-Parblo USB Writing Tablet (info: What is a Parblo Graphing Drawing Tablet.pdf)

Math 8A & 11 Students - Precalculus Hardcopy Textbook

Students enrolled in the following:

-CRN: 40434 & 41906, Math 8A w/Instructor Elena Dachkova

-CRN: 40437, Math 8A w/Instructor Ken Wagman

-CRN: 41122, Math 11 w/Instructor Ken Wagman

Exclusive to STEM majors

-Graphing Calculator (NO MORE - ALL CHECKED OUT)
-Verizon MIFI Hotspot
-Apple iPad, charger, + protective case

-Math 2 Linear Algebra hardcopy textbooks

-Math 2C Differential Equations hardcopy textbooks

-Dell Laptop

Exclusive to STEM Academy and MESA Members:
-Calculus hardcopy textbooks
-Pearson MyLab Math Precalculus Access code (Math 8A, 8B, 11)
-WebAssign Access codes for Calculus (Math 1A, 1B, 1C) and Linear Algebra (Math 2)

-Apple Pencil for loaned iPads

Scientific Calculator (TI-30XS)

Parblo USB Writing Tablet (original box + all accessories) *Great for hand-writing math problems using Zoom for online tutoring!

Verizon MIFI Hotspot (original box + all components) [all declared STEM majors]

Apple iPad, charger, + protective case [all declared STEM majors]

Apple Pencil [STEM Academy & MESA members only]

Math 8A or 11 Precalculus hardcopy textbook [Enrolled w/Ken Wagman or Elena Dachkova]

Math 8A, 8B, 11 Pearson MyLab Math Precalculus Access code [STEM Academy and MESA members only]

Math 1A or 1B Calculus hardcopy textbook [STEM Academy and MESA members only]

Math 1C Calculus hardcopy textbook [STEM Academy and MESA members only]

Math 1A, 1B, 1C WebAssign Access code + eBook (Stewart Calculus) [STEM Academy and MESA members only]

Math 2 Linear Algebra hardcopy textbook [All students enrolled in class]

Math 2 Linear Algebra WebAssign Access code & eBook [STEM Academy and MESA members only]

Math 2C Differential Equations hardcopy textbook [All students enrolled in class]

Dell Laptop [all declared STEM majors]

Required

Material pick up will be in the STEM Center (Room MA102) in Gilroy.

STEM Center Hours:

Mon-Thurs 9-5pm

Fri 10-2pm

Please select your pick up date below: *

**I only need an Access Code. Please email** [Must be a member of MESA or STEM Academy]

After the first week of semester when the STEM Center is open. Drop in any time!

I agree to ALL of the following conditions: (every box below must be checked) *

I understand I am the sole borrower of the above listed material

I will by no means allow others, including my children, siblings and/or friends to use or have possession of the material at any time

I will use the equipment for educational purposes only and understand that all material is subject to the terms of the District’s Acceptable Use Polices whether on or off campus

I understand that the material is the property of Gavilan College and will contact vmasey@gavilan.edu within 48 hours if anything happens to the material

I will return all borrowed materials and associated components upon request of a Gavilan STEM staff or faculty member (contacted via email or phone) on an agreed upon date

I understand that if I do not return all materials by the agreed upon date given by Gavilan Staff or Faculty, a HOLD will be placed on my student account/records and I will lose any opportunity for future use

I will be responsible for any lost materials or accessories as well as any partial or complete damage to the material or accessories

I understand that if I fail to return the materials and all its parts I will be responsible for replacing it at market value

Required

Send me a copy of my responses.

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