Graphing Calculator Loan Agreement
Graphing Calculator Loan Agreement
The following student has been loaned a TI – 83/84 graphing calculator,
number ___________, for use in MAT – 151 ___ during the ____ semester 20____.
This calculator must be returned at the request of the instructor. Replacement cost for this calculator is $90.00. Failure to return the calculator will result in the following actions:
* The student's course grade will be withheld,
* The student will not be permitted to register for any additional classes, and
* The student will be assessed the replacement cost of the calculator.
Course grades will be withheld and registration denied until either the calculator has been returned to the instructor or payment has been received at the Business Office, room G100A. A copy of this form for students who have not returned the calculator or made payment for its cost will be maintained in the office of the Department Head of Mathematics, Sonya McCook room B312.
Student’s name & ID Number: ____________________________________
Student’s signature: ____________________________________________
Instructor: ____________________ Date: _______________________
Return Date: _____________________ Received by: _________________
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