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    Parent Loan Form JPM 20140211

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    api-385864562
    This document is an agreement form for the loan of assistive technology equipment from the Clark County School District. It specifies that the equipment can be used at home but must travel back and forth from school. It also notes that the district reserves the right to stop loans if equipment is repeatedly damaged or not returned. The form is signed by the student's parent/guardian to agree to terms including returning equipment in good condition or paying replacement costs.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Parent Loan Form JPM 20140211

    Uploaded by

    api-385864562
    45 views2 pages
    This document is an agreement form for the loan of assistive technology equipment from the Clark County School District. It specifies that the equipment can be used at home but must travel back and forth from school. It also notes that the district reserves the right to stop loans if equipment is repeatedly damaged or not returned. The form is signed by the student's parent/guardian to agree to terms including returning equipment in good condition or paying replacement costs.

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    This document is an agreement form for the loan of assistive technology equipment from the Clark County School District. It specifies that the equipment can be used at home but must travel back and forth from school. It also notes that the district reserves the right to stop loans if equipment is repeatedly damaged or not returned. The form is signed by the student's parent/guardian to agree to terms including returning equipment in good condition or paying replacement costs.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    45 views2 pages

    Parent Loan Form JPM 20140211

    Uploaded by

    api-385864562
    This document is an agreement form for the loan of assistive technology equipment from the Clark County School District. It specifies that the equipment can be used at home but must travel back and forth from school. It also notes that the district reserves the right to stop loans if equipment is repeatedly damaged or not returned. The form is signed by the student's parent/guardian to agree to terms including returning equipment in good condition or paying replacement costs.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    CLARKCOUNTYSCHOOLDISTRICT

    STUDENTSERVICESDIVISION
    ASSISTIVETECHNOLOGYSERVICESDEPARTMENT
    AGREEMENTFORLOANOFASSISTIVETECHNOLOGYEQUIPMENT

    Pleasesignandreturnthisformsothe___________________canbegintogohome.
    Understandthatthispieceofequipmentmusttravelbackandforthtoschoolandisnotfor
    homeuseonly.

    TheClarkCountySchoolDistrict(CCSD)reservestherighttorefrainfromsendingthe
    equipmenthomeifitisrepeatedlyreturnsuncharged,innonworkingcondition,orrepeatedly
    failstocomebacktoschool.

    Student:___________________________ School:____________________ Grade______


    Parent:_____________________________________________________________________
    Address:____________________________________________Phone:__________________
    EquipmentLoaned:___________________________________________________________
    Model:__________________ Serial#____________________________ AST#________
    DateIssued:_____________________________ ReturnDate:_______________________
    EquipmentIssuedBy:_____________________________ Title:___________________
    IagreetoreturntheaboveequipmentingoodworkingordertoCCSD,StudentServicesDivisionatthe
    endoftheloanperiod.If,foranyreason,returnoftheequipmentisnotpossible,Iwillreplaceitwith
    identicalequipmentorreimbursetheCCSDatthecurrentreplacementcost.Presentreplacementcost
    forthisinstrumentis$____________.Thispriceissubjecttochange.Thisagreementismadein
    accordancewithNRS393.170andClarkCountySchoolDistrictPolicyandRegulation5134which
    governsotherCCSDownedpropertysuchaslibrarybooks,textbooks,supplies,andequipment.

    Iftheequipmentisnotreturnedingoodworkingorder,IunderstandthatIwillberesponsibleforthe
    costsofrepairandthatreplacementequipmentmaynotbeprovidedwithoutamonetarydeposit.

    Ifthisloanformpertainstoanaugmentativecommunicationdevice,youwillbeabletochangeand
    programthedevicefollowingtrainingatAssistiveTechnologyServiceson_______________.Weask
    thatyourefrainfromchanginganyofthesettingsonthedeviceuntilyouhavebeentotraining.

    Also,pleasenotethatyouareresponsibleforchargingthedeviceeacheveningandsendingthecharger
    backandforthtoschooldailysothedevicewillbereadytouse.

    ____________________________________________ __________________
    Parent/GuardianSignature Date
    ____________________________________________ __________________
    StudentSignature* Date

    *StudentsofMiddleSchoolLevelandaboveshouldcosignthisform

    Pleasereturnasignedcopyofthisagreementto:AssistiveTechnologyServices(Location#197)orFaxto8558448
    CLARKCOUNTYSCHOOLDISTRICTREGULATION5134

    CAREOFSCHOOLPROPERTY
    I. ResponsibilityforMaterial:Studentsandtheirparentsorguardiansshallberesponsiblefor
    alldamagetoorlossoftextbooks,librarybooks,orothermaterials,equipment,orschool
    propertyloanedtoorusedbythestudentandshallreimbursetheClarkCountySchool
    Districtforsuchlossordamage.
    II. DamageAssessment
    A. Theprincipalorwhoeverisdelegatedshallberesponsibleforcollectingthefullpurchase
    priceofanysuchitemthatislost,destroyed,orsodamagedastomaketheitemunfitfor
    futureuse.
    B. Theprincipalmaydisciplinestudentsfordamageorlossoftextbooks,withholdtherightto
    participateinstudentactivities,andrequireamonetarydepositforreplacementtextbooks
    fromstudentswhohavepreviouslylostordamagedtextbooksormaterials.
    C. Informationaboutpricescanbeobtainedfromthefollowingthreesources:
    1. Textbooks:TextbookProceduresManual/Catalogortextbookcontrolclerk.
    2. LibraryBooks:LibraryServicesOffice,CurriculumandProfessionalDevelopment.
    3. SuppliesandEquipment:PurchasingandWarehousingDepartment.
    III. Accounting:MoneycollectedasprescribedaboveistobeturnedintotheAccounting
    Department

    NRS393.170Librarybooks,textbooksandotherschoolsupplies:Purchase;paymentfordamage;
    ownership;penalty.
    1.Theboardoftrusteesofaschooldistrictshallpurchaseallnewlibrarybooksandsupplies,allnew
    textbooksandsupplementaryschoolbookswhicharenecessaryandhavebeenapprovedbytheState
    BoardofEducation,andschoolsuppliesnecessarytocarryoutthemandatesoftheschoolcurriculumto
    beusedbythepupilsoftheschooldistrict.Thecostofthebooksandsuppliesisalegalchargeagainst
    theschooldistrictfund.
    2.Allbookspurchasedbytheboardoftrusteesmustbeheldaspropertyoftheschooldistrict,and
    mustbeloanedtothepupilsoftheschoolintheschooldistrictwhilepursuingacourseofstudytherein.
    3.Theparentsandguardiansofpupilsareresponsibleforallbooksandanyandallothermaterialor
    equipmentloanedtothechildrenintheircharge,andshallpaytotheclerkoftheboardoftrustees,or
    toanyotherpersonauthorizedbytheboardtoreceivethesame,thefullpurchasepriceofallsuch
    books,materialorequipmentdestroyed,lostorsodamagedastomakethemunfitforusebyother
    pupilssucceedingtotheirclasses.Theboardoftrusteesshallestablishreasonablerulesandregulations
    governingthecareandcustodyofsuchschoolpropertyandforthepaymentoffinesfordamage
    thereto.
    4.Equipmentandmaterialsforuseinmanualtraining,industrialtrainingandteachingdomestic
    sciencemaybesuppliedtothepupilsinthesamemanner,outofthesamefund,andonthesameterms
    andconditionsasbooks.Noprivateownershipmaybeacquiredinsuchequipmentormaterial,unless
    soldinthemannerprescribedbylawwhensuchequipmentormaterialarenolongerusedorrequired
    fortheschoolsoftheschooldistrict.
    5.Authorizedsupplementarybooksanddeskbooksfortheuseofteachersmustbepurchasedunder
    NRS393.160to393.210,inclusive,andremainthepropertyoftheschooldistrictforwhichtheywere
    purchased,unlesssoldinaccordancewiththeprovisionsofthischapter.
    6.Theclerkoftheboardoftrusteesshallturnovertothecountytreasurer,within30daysafter
    receivingit,allmoney,collectedundertheprovisionsofthissection,andthemoneymustbecreditedto
    theschooldistrictfund.
    7.Anypersonviolatinganyoftheprovisionsofthissectionisguiltyofamisdemeanor.
    [425:32:1956](NRSA1967,567;1973,235;1991,478)

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