ࡱ> `b_` bjbjss c :FFFFFFFZ86,b4Z"6d"f"f"f"f"f"f"$h_'Vf"FY"YYf"FF<{"gggYpFFd"gYd"ggV @FF! oϠ(! !"0"4!x((!(F!$ghf"f"d"YYYYZZZ ZZZZZZFFFFFF STANDARD OPERATING PROCEDURES Educational Vision Services INVENTORY NEW YORK CITY  INCLUDEPICTURE "http://www.nycenet.edu/csd10/district%5Fsite/operations%5Fmanual/Image4.gif" \* MERGEFORMATINET REQUEST FOR OFF-SITE PUBLIC SCHOOLS EQUIPMENT/SOFTWARE UTILIZATION (STUDENT) (REV 6/01) PRINT LEGIBLY EXCEPT FOR SIGNATURES EVS Teachers: Complete sections indicated by arrows. EQUIPMENT/SOFWARE INFORMATION CURRENT SITE INFORMATION ITEM DESCRIPTION: _________________________________________ __________________________________________ CURRENT SCHOOL/OFFICE/SITE ADDRESS: Educational Vision Services, 400 First Avenue, New York, NY 10010 MODEL NUMBER: ___________________________________________________________________ SERIAL NUMBER: ___________________________________________ CONDITION OF EQUIPMENT: ___________________________________________________________ NAME OF STUDENT WHO WILL USE EQUIPMENT/SOFWARE OFF-SITE: ______________________________________________________________________________________ REASON FOR OFF-SITE EQUIPMENT USE: Student will use equipment to complete school and home assignments in a timely fashion. ADDRESS OF PROPOSED OFF-SITE LOCATION (Students home address): _________________________________________________________________________________ ____________________________________________________ DATE OF EQUIPMENT/SOFTWARE TRANSFER TO THE HOME: _________________________ EXPECTED DATE OF EQUIPMENT/SOFWARE RETURN TO SITE: June __________ (over) Borrower's Agreement "I agree to be responsible for the designated equipment/sofware item while it is in my possession and to return it by the above indicated date. If the item is lost, stolen, destroyed or otherwise rendered inoperative while in my possession. I agree to reimburse the Board of Education for the item at replacement value. If the item is damaged, I agree to pay for its repair." _________________________________________________________ SIGNATURE OF PARENT OF STUDENT REQUESTING OFF-SITE USE OF THE ABOVE EQUIPMENT/SOFTWARE ________________________________________________________ SIGNATURE OF TEACHER DISTRIBUTING THE ABOVE EQUIPMENT/SOFTWARE Approval Signatures _______________________________________ ____________________________________________ PRINCIPAL/SUPERVISOR/SITE ADMINISTRATOR/OFFICE HEAD SIGNATURE /EXECUTIVE DIRECTOR SIGNATURE  Certification of Equipment Return Date of Equipment Return_____________________________________________ _____ I have inspected the returned equipment and verify it to be the same equipment as described above and have found it to be in the same condition as indicated above. _____ Equipment was not returned in the same condition as when it left the site as described above. (Please explain below.) ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ _______________________________________________________________ DIRECTORS SIGNATURE PLEASE RETURN TO: Educational Vision Services 400 First Avenue, 7TH FL New York, NY 10010     THE NEW YORK CITY DEPARTMENT OF EDUCATION JOEL I. KLEIN, Chancellor DISTRICT 75 BONNIE BROWN, SUPERINTENDENT Dr. Laurence Gardner ( Director ( Educational Vision Services 400 First Avenue, New York, NY 10010 ( Tel. 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