Central Office Equipment Request Form

Library Media Services, 501 West Washington Street, 370-2355, offers equipment for short-term loan to Central Office administrators and Central Office Staff for use in Guilford County Schools' related activities.

Equipment is not reserved until the borrower receives a confirmation. If you no longer need the equipment, please email Tammy Gruer so others may use the equipment. Repeated failure to cancel equipment reservations may result in loss of borrowing privileges.

Please Note: The borrower is responsible and liable for equipment that is borrowed from Library Media Services. This liability includes replacement or repair costs associated with equipment loss or damage. By completing this form, you acknowledge that you have read and agreed to the conditions of equipment loan and use.


Items denoted with a red asterisk * are required.
 * Contact Person Borrowing Equipment
 
 * Email Address
 
 * Date
 
Click to View Date Picker
 * Phone Number
 
 -  - 
(XXX)-XXX-XXXX
Department
 
 * Event
 
 
 
Hours for pickup and return are Monday through Friday from 8:00 AM to 5:00 PM
 * Pick Up Date
 
Click to View Date Picker
 * Pick Up Time
 
(hh:mm am/pm)
 * Return Date
 
Click to View Date Picker
 * Return Time
 
(hh:mm am/pm)
 * Item Requested
 
Please put a check mark beside all items you are requesting for check out.
Click "Send Now" at the bottom of the page to sumbit check out form.
Please complete the following upon pick up.
Picked Up By:
 
First Name
M.
Last Name

Please sign and date
Returned By:
 
First Name
M.
Last Name

Please sign and date
Checked In By:
 
First Name
M.
Last Name