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Equipment Loan Form

All sections must be completed for the loaning of Ealing CLC ICT resources. Urgent/Emergency loan requests can still be made by email or telephone but will only be granted at the discretion of the CLC resources department
1.Contact Details (* indicates mandatory field)
Title *
First Name *
Surname *
Email address *
Telephone No
School/Org Name *
2.Loan Details
Item Accessories CLC Code
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Loan period 
Loan from: Loan to:
 
* Longer term loans (up to 4 weeks) are permitted only in exceptional circumstances and must be approved by CLC management.
 
3.Purpose/Event/Project
Year / Group * Subject / Topic * Additional info *
 
Ealing CLC provides an equipment loan service for all Ealing schools and their teachers. This service is free of charge to schools. On occasion we are able to loan equipment to other education associated users but reserve the right the to make a charge for equipment dependent on item, need and service request – please discuss your needs with the Resources Manager at the CLC beforehand.

Note: All Bookings MUST be submitted via this webpage with a two week notice period (or longer) to guarantee their availability. A minimum of 1 weeks notice is required for smaller loans e.g. one digital camera and the like. .
 
TO COMPLETE YOUR BOOKING APPLICATION PLEASE DO THE FOLLOWING:
 
  • READ THE CONDITION BELOW CAREFULLLY
    		•
  • COMPLETE THE DECLARATION SECTION
    		•
     
     
    CONDTIONS:
     
    • THE BORROWER MUST ENSURE THAT ALL THE LOANED ITEMS MUST BE RETURNED WITHIN THE LOAN PERIOD
    • ALL EQUIPMENT MUST BE RETURNED IN THE SAME CONDITION AS THAT HIRED OUT
    •  ALL ACCESSORIES MUST ALSO BE RETURNED E.G RECHARGEABLE BATTERIES,CHARGERS AND CABLES
    •  ALL BORROWERS MUST ENSURE THAT THEIR SCHOOL OR ORGANIZATION HAVE ADEQUATE INSURANCE COVER IN THE EVENT OF LOSS,THEFT OR DAMAGE TO THE LOANED ITEM(S) – IN THE EVENT THAT THIS IS NOT THE CASE THE CLC RESERVES THE RIGHT TO MAKE FULL CHARGES FOR THE DAMAGED/STOLEN EQUIPMENT
    • IT IS THE RESPONSIBILITY OF THE BORROWER TO ENSURE THE CORRECT USAGE AND SECURITY OF ANY CLC RESOURCE IN THEIR POSSESSION
    • ANY FAULTS, LOSS OR DAMAGE MUST BE REPORTED TO THE CLC ICT RESOURCES DEPARTMENT AS SOON AS POSSIBLE. CHARGES MAY APPLY
    •  BY COMPLETING THIS FORM AND FORWARDING IT ON TO THE CLC, YOU HAVE READ AND UNDERSTOOD THE CONDITIONS STATED ABOVE AND AGREE TO ABIDE BY THEM
     
    4.Declaration
     
    I UNDERSTAND THAT I AM RESPONSIBLE FOR THE LOANED ITEM(S) AND THAT I,OR MY SCHOOL ARE LIABLE FOR THE FULL COST OF REPLACEMENT OR REPAIR IN THE EVENT OF LOSS OR DAMAGE TO THE SAME ITEM(S)
     
    Full Name*                                Date*