ࡱ> ILH (bjbj 4HH$PLK$fg(AAA|GL('$)$)$)$)$)$)$$2&(M$9"M$AAh$AA'$'$:",[#Ao==" $$0$ #R`)`)[#`)[#?^LM$M$$`)H Q: WYTHEVILLE COMMUNITY COLLEGE 1000 East Main Street % Wytheville, VA 24382 Student Equipment Checkout Agreement NAME:  FORMTEXT       STUDENT NUMBER:  FORMTEXT       DATE:  FORMTEXT       PROGRAM:  FORMDROPDOWN   FORMTEXT       TELEPHONE: (home)  FORMTEXT       (cell)  FORMTEXT       EQUIPMENT :  FORMTEXT       COLLEGE ID#:  FORMTEXT       SERIAL # :  FORMTEXT       I hereby accept custody of the above equipment belonging to WYTHEVILLE COMMUNITY COLLEGE for student use in the classroom and as assigned by my instructor. I assume full responsibility for such equipment and I shall make payment to the College at the replacement cost if the equipment is lost, stolen, or damaged while in my custody. I understand the College may require the return of the equipment at any time. I understand and agree that the college may prevent me from registering for classes, receiving a refund, requesting official transcripts, receiving a diploma, issuing a check to the college or receiving financial aid payments until this device is returned as issued or replacement payment is settled. POLICIES AND PROCEDURES FOR STUDENT EQUIPMENT CHECK OUT Only the WCC student listed on this form may use the electronic device. If applicable, no software is to be loaded by the student. If applicable, no games are to be loaded by the student. If a problem occurs, all troubleshooting and repair to the device is to be done by WCC. All troubleshooting and repair work will be done at the College. DATE/TIME OF CHECKOUT: ____________________________________________ __________________________________________________________________ Signature of Student Date __________________________________________________________________ Instructor Date DATE/TIME OF RETURN: ______________________________________________ __________________________________________________________________ Signature of Student Date __________________________________DprϿϬmWH8(jh6CJOJQJUaJhwthwt>*CJOJQJaJh<h8CJOJQJaJ+h<h5B* CJOJQJ\^Jph"4%h35B* CJOJQJ\^Jph"4+h<h85B* CJOJQJ\^Jph"4+h<h@<5B* CJOJQJ\^Jph"4%h)i5B* CJOJQJ\^Jph"4hB* OJQJ^JaJph"4hB* OJQJ^Jph"4"h5B* CJOJQJ^Jph"4 jh} h} UmHnHu n p   @ xgd< f!gdwt f!gdn f!gdwtgd8 #gdwt $xa$gd@<$d&d P#a$     @ D F Z \ ^ h j l z ~ ѷѪ|g|P|A2h<h<CJOJQJaJh<h8CJOJQJaJ-jhwt>*CJOJQJUaJmHnHu(jthwt>*CJOJQJUaJ"jhwt>*CJOJQJUaJh,>*CJOJQJaJh,h,CJOJQJaJhwt>*CJOJQJaJ3jh($h6>*CJOJQJUaJmHnHujh6CJOJQJUaJ%jh6CJOJQJUaJh6CJOJQJaJ 뙊~o]P;].h >*CJOJQJaJ(j\h} >*CJOJQJUaJh)i>*CJOJQJaJ"jh} >*CJOJQJUaJh<h8CJOJQJaJh)iCJOJQJaJh<h<CJOJQJaJh<h8>*CJOJQJaJ3jh<h<>*CJOJQJUaJmHnHu.jh<h} >*CJOJQJUaJh<h<>*CJOJQJaJ(jh<h} >*CJOJQJUaJ    6 8 < > R T V ` b h j rZr@r0h<h8>*CJOJQJaJ3jh<h<>*CJOJQJUaJmHnHu.jPh<h} >*CJOJQJUaJ(jh<h} >*CJOJQJUaJh<h<CJOJQJaJh<h8CJOJQJaJh<h<>*CJOJQJaJ-jh >*CJOJQJUaJmHnHu(jh} >*CJOJQJUaJh >*CJOJQJaJ"jh} >*CJOJQJUaJj l r t | ~ ~q_qJ_(j8hwt>*CJOJQJUaJ"jhwt>*CJOJQJUaJhwt>*CJOJQJaJ3jh<h<>*CJOJQJUaJmHnHu.jh<h} >*CJOJQJUaJ(jh<h} >*CJOJQJUaJh)iCJOJQJaJh<h8CJOJQJaJh<h<CJOJQJaJh<h<>*CJOJQJaJ    , . 0 : < > d f h | ~  Ʒ}cƷ֪NƷ?h<h8CJOJQJaJ(j hwt>*CJOJQJUaJ3jh<h<>*CJOJQJUaJmHnHu.jh<h} >*CJOJQJUaJ(jh<h} >*CJOJQJUaJhwt>*CJOJQJaJh<h<CJOJQJaJh<h<>*CJOJQJaJ"jhwt>*CJOJQJUaJ-jhwt>*CJOJQJUaJmHnHu / 2 d  g i Vis(JQSc&ɹɜ{occocochMCJOJQJaJhtCJOJQJaJht5>*CJOJQJaJ"h<h85>*CJOJQJaJhMh85CJOJQJaJh35CJOJQJaJhMhM5CJOJQJaJhMh)i5CJOJQJaJhCCJOJQJaJh<h8CJOJQJaJh)iCJOJQJaJ"S%&'(ln !"#hi gdM gdM gd< gdM gd<gd8 & F1$gd8&',-245=>@NOk #'(-/9i((!(+(0(1(3(4(6(7(9(:(<(=(ʻֻʮʻ{{{h jh UUh8CJOJQJaJh<CJOJQJaJh3>*CJOJQJaJhM>*CJOJQJaJh<h3CJOJQJaJh3CJOJQJaJhMCJOJQJaJh<h8CJOJQJaJh<hMCJOJQJaJ0!(1(2(3(5(6(8(9(;(<(>(?(a(b((((( !$$a$gd< gd< gdM gdM________________________________ Instructor Date     Virginia Community College System  FILENAME \p H:\Dean\Forms\Student Equipment Checkout Agreement.Final.docx  DATE \@ "MM/dd/yy" 09/24/09 =(?(`(a(b(c(p(q(((((((((((((նի{h<hMCJOJQJaJ h($<CJ OJQJmHnHujh} <CJ OJQJUh3<CJ OJQJ#h|<CJ OJQJhmHnHuh3<CJ OJQJh!jh} <CJ OJQJUhh*3h3h3B* OJQJ^Jph"4h 9 0&P1h:p</ =!"#$% 9 0&P1h:p</ =!"#$% nb`XPNG  IHDRasRGBgAMA a cHRMz&u0`:pQ< pHYsiTS6PLTE+++999HHHVVVrrrddd IDATxrH `ewkvXilI-LGeC઱DgEtYDg^5\ԉyulNtDDܜՉ<:ї<:=:ї<:gV'Rs'V'rD_nNt@D_aNt@D_cT/Bty%uX_RY=:ך˕p Ge":yQ'zsS'c]@ M*D4ϥNtsH[WYUDG\D2O ѵ:]<:͉NtAϢN;܉^N"hf<ܷ76룇0':y,QCGcI6z$sR!} I(|s Án| #}"NSU.K}Cl#]3kit]>Qw@wH|=>|;e0'%ϭTҟ/-yOn-K,[1WOnknɆ橲Y.-L)Ƿ.!ɭrtD>4ˆ~v+k:]@W\zG_iBSX芮~vmc~+0٭npz+nŏ5ÃKog7s靛SH27}:7cM4n&M(o. ~6i#@smu=Y#h:FAČi"m/h>w*fa95?,ݠG3SoA?l4Бzan~_}я1[R|$QK4SNsC³]R|o:5_Ns *ތzr GSh ݣ)κME0\_uDw93N0i(KS'Cy$՗7NtE'ͭi2):cDɍ-ço8~qiJ=R Nh|QM^,in ЏZ3:5Owwet,>4_]Mh'6~Ģ+i~U/:4Od5{ͫkau߬ ToC̏_oϕ`<5D_F/L/HIENDB`tDText7tDText8tDText2Df Dropdown1tDText6tDText4tDText5tDText9tDText1vDText10^ 2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH 8`8 lNormal_HmH sH tH LL l Heading 1$h@&a$5CJOJQJDA D Default Paragraph FontRiR 0 Table Normal4 l4a (k ( 0No List 6U6 l Hyperlink >*B*phHBH l Body Textd8 CJOJQJ44 lHeader !4 @"4 lFooter !H2H M Balloon TextCJOJQJ^JaJNAN MBalloon Text CharCJOJQJ^JaJPK![Content_Types].xmlj0Eжr(΢Iw},-j4 wP-t#bΙ{UTU^hd}㨫)*1P' ^W0)T9<l#$yi};~@(Hu* Dנz/0ǰ $ X3aZ,D0j~3߶b~i>3\`?/[G\!-Rk.sԻ..a濭?PK!֧6 _rels/.relsj0 }Q%v/C/}(h"O = C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_6LR7`0̞O,En7Lib/SeеPK!kytheme/theme/themeManager.xml M @}w7c(EbˮCAǠҟ7՛K Y, e.|,H,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+& 8PK!Ptheme/theme/theme1.xmlYOo6w toc'vuر-MniP@I}úama[إ4:lЯGRX^6؊>$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! 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