The personal information that you provide on this form is being collected under the authority of the Post-Secondary Learning Act and the Freedom of Information and Protection of Privacy Act of Alberta. It will be used by Information Technology Services to facilitate the lending of computer hardware. The information will be protected in compliance with the Freedom of Information and Protection of Privacy Act of Alberta. The information will be retained by the department in accordance with approved Information Management guidelines, after which it will be destroyed in a secure manner. If you have any questions about the collection and use of this personal information, please contact the Chief Information Officer, Information Technology Services, Red Deer College, 100 College Blvd., Box 5005, Red Deer, Alberta,

T4N 5H5, Telephone: 403.342.3404.

EQUIPMENT INFORMATION

EQUIPMENT DESCRIPTION / CSP NUMBER / SERIAL/ID NUMBER

BORROWER INFORMATION

NAME / RDC ID NUMBER / CONTACT PHONE
EQUIPMENT PICKUP DATE / EQUIPMENT PICKUP TIME / EQUIPMENT RETURN TIME

AGREEMENT

1.  I will keep the equipment in this area and return it at agreed time and I accept responsibility for loss of or damage to the equipment.
2.  I have read and will comply with the Acceptable Use of Computers and Networks Standard Practice.
SIGNATURE / DATE

03/09

The personal information that you provide on this form is being collected under the authority of the Post-Secondary Learning Act and the Freedom of Information and Protection of Privacy Act of Alberta. It will be used by Information Technology Services to facilitate the lending of computer hardware. The information will be protected in compliance with the Freedom of Information and Protection of Privacy Act of Alberta. The information will be retained by the department in accordance with approved Information Management guidelines, after which it will be destroyed in a secure manner. If you have any questions about the collection and use of this personal information, please contact the Chief Information Officer, Information Technology Services, Red Deer College, 100 College Blvd., Box 5005, Red Deer, Alberta

T4N 5H5, Telephone: 403.342.3404.

EQUIPMENT INFORMATION

EQUIPMENT DESCRIPTION / CSP NUMBER / SERIAL/ID NUMBER

BORROWER INFORMATION

NAME / RDC ID NUMBER / CONTACT PHONE
EQUIPMENT PICKUP DATE / EQUIPMENT PICKUP TIME / EQUIPMENT RETURN TIME

AGREEMENT

1.  I will keep the equipment in this area and return it at agreed time and I accept responsibility for loss of or damage to the equipment.
2.  I have read and will comply with the Acceptable Use of Computers and Networks Standard Practice.
SIGNATURE / DATE

03/09