Request for Technology Loan
By completing this form you confirm that District or School Administrator has given approval for technology loan request. A copy of this request will be sent to the Administrator listed in the form.  Liability agreement below is thereby executed.

Due to increased demand, POPDHH will prioritize technology requests for DHH students in remote areas who are accessing ASL online class or ASL chat with POPDHH specialist.
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POPDHH Technology Loan - Liability Agreement
The District or School Administrator named in this form shall be responsible for the equipment and understands/accepts the conditions listed below. Detailed checklist of equipment, login instructions and full list of terms and conditions will be provided when the loan is shipped.

- Equipment stays in a secure location on school property
- School insurance covers theft or loss of property
- Damage to equipment is borne by the school district; this includes loss/damage to the hardware, as well as damage or - loss of accessories included in the loan
- POPDHH will cover software malfunction costs
- POPDHH will pay shipping costs for sending and return of equipment (out of town districts only)
- District may not install apps or perform updates while in possession of equipment
- MacBook laptops and iPads must be returned at least a week before the end of the school year
School District *
District Contact *
TDHH or other contact requesting the equipment
District Contact's Email *
Please double check for typos as your email will be used to send you a confirmation of your request
District Contact's Phone Number *
School Name *
This is where the equipment will be sent
School Address *
School Phone Number *
Student's Name *
Which student will be using this equipment?
Equipment Requested *
Purpose of rental *
(e.g. ASL instruction with POPDHH ASL specialist, use of pre-installed educational apps, connecting with the district TDHH in remote areas).
What is the reason the home district is unable to provide equipment? *
School or District Administrator - Name and Title *
e.g. Special Education Director, District Principal, etc. approving this request and accepting terms
Administrator's Email *
Please double check for typos as this contact will receive a copy of the request
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