Simpson College
Student Use of Media Equipment on Campus
Dunn Library Media Services Department Statement of Responsibility
PLEASE NOTE THE FOLLOWING:
I understand that in using equipment owned by Simpson College, I become responsible for the care and security of the equipment.
If the equipment is damaged or lost, I agree to be responsible for paying all necessary costs of repairing or replacing the equipment. For Student Use of Media Equipment on Campus
Equipment Needed:
Name of Group / Organization:
Location of Use:
Storage Location:
Date of Use:
Date of Request:
Faculty / Adviser Name:
Faculty / Adviser Department:
Faculty / Adviser Email:
Faculty / Adviser Phone:
Student Name(s):
Other Information: