Department of Social Work - UMD

LAPTOP AGREEMENT FORM

A laptop may be checked out from the Social Work Department for up to one week. While checked out, the laptop is to remain in possession of the loaner. Any computer malfunctions should be reported at the time the laptop is returned. Returned laptop must be checked in with the Department’s secretary.

If the laptop is not returned by the time due, the borrower may have a department hold placed on their account. The cost of a damaged and/or lost laptop and/or laptop accessories while checked out may result in charges up to $3000 that will be applied to the borrower’s Bursar’s account.

Your signature below indicates that you recognize your responsibility in the care and custody of any laptop you borrow from the Social Work Department.

I have read and I understand the laptop check out policies of the Social Work Department and agree to abide by them.

I am currently a MSW student and agree to return this computer on

______________(one week maximum).

Name:	Date:
Signature:	Laptop ID#:
Address:	City, State, Zip:
Home Phone:	Email address:
Date Returned:	Signature:
Student Hold Date:	Reason for Hold