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Student Teacher Technology Kit Agreement

[Click here for Student Teacher Tech Kit Page]

This is an agreement between the UMD Department of Education and the student named below, who is checking out a Student Teacher Technology Kit. Each kit consists of a laptop computer, digital projector and digital camera, with cases and standard accessories, and having an approximate value of $3,770.

Student Information

Student Information To Be Filled Out by Student Picking Up Kit
Name & UMD ID Number  
Phone Number(s)  
Email Address  
Teaching Location: School Name and City  

Technology Kit Information

Technology Kit Information To Be Filled Out by Student Picking Up Kit
Laptop

Macintosh Number _____

or PC Number _____

Projector Number
Camera Number and Model
Keyspan Clicker and/or Locking Cable(s) Number(s)

All Users: I acknowledge receipt of the equipment listed above and agree to the following terms of use:

Initials ____

All Users: I will return the equipment in the same condition in which I received it. If not, I will be responsible for any damages not covered by warranty, or loss of equipment, up to $500 per item. I realize that I will be subject to criminal prosecution or civil liability and late fees if I fail to return the equipment as agreed. I agree to pay all assessments, damage or replacement fees, and any non-warranty repair costs, either directly or through my University financial account.

Initials ____

All Users: To help the Education Department manage this equipment, I will:

Initials ____

Camera Users Only: To protect the privacy of my students and their parents/guardians, I will follow these photography guidelines regarding students and/or their work:

  • Before taking photographs, I will consult with my cooperating teacher and the school principal, review parent / guardian "no publish" forms and lists, and consult students in class.
  • When taking and using photographs, I will abide by district policies and student / parent / guardian desires.

Initials ____

All Users: THE UNIVERSITY HERBY DISCLAIMS ALL EXPRESS AND IMPLIED WARRANTIES, INCLUDING, WITHOUT LIMITATION, THE IMPLIED WARRANTIES RELATION TO THE EQUIPMENT AND THE SOFTWARE OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. The student agrees to accept the kit items "as is." In no event shall the University be liable to the student or guardian, personal representative, or heirs for an incidental, special, indirect, or consequential damage of whatever nature arising out of any claim, whether in contract, tort, or otherwise, alleging the University's failure to perform its obligations under this agreement or its breach of any duty, common law, or otherwise, owed to the student.

Student Signature (Date): _______________________________ (____ / ____ / ____)

Department Signature (Date): ___________________________ (____ / ____ / ____)

Pick Up and Drop Off Procedures

Event Date Time Location
Picked Up      
Anticipated Return      
Actual Return