Provide the following contact information: (must fill out this top information completely) |
| Today's Date: | -- mm/dd/yy | Building | |
| Name | | Room Number | |
| Please provide this information for NEW EQUIPMENT ONLY - if none you only have to choose once. Use a different entry section for each piece of equipment. If you have no changes choose NONE under the #1 Equipment Type then submit. You must also complete the checklist at the bottom of the screen before you choose send. |
| 1. Equipment Type | | Manufacturer | |
| Operating System | | Serial Number | |
| *Other Equipment | | Usage | (teacher, student, other) |
| 2. Equipment Type | | Manufacturer | |
| Operating System | | Serial Number | |
| *Other Equipment | | Usage | (teacher, student, other) |
| 3. Equipment Type | | Manufacturer | |
| Operating System | | Serial Number | |
| *Other Equipment | | Usage | (teacher, student, other) |
| 4. Equipment Type | | Manufacturer | |
| Operating System | | Serial Number | |
| *Other Equipment | | Usage | (teacher, student, other) |
| 5. Equipment Type | | Manufacturer | |
| Operating System | | Serial Number | |
| *Other Equipment | | Usage | (teacher, student, other) |
| 6. Equipment Type | | Manufacturer | |
| Operating System | | Serial Number | |
| *Other Equipment | | Usage | (teacher, student, other) |
| 7. Equipment Type | | Manufacturer | |
| Operating System | | Serial Number | |
| *Other Equipment | | Usage | (teacher, student, other) |
| 8. Equipment Type | | Manufacturer | |
| Operating System | | Serial Number | |
| *Other Equipment | | Usage | (teacher, student, other) |
| 9. Equipment Type | | Manufacturer | |
| Operating System | | Serial Number | |
| *Other Equipment | | Usage | (teacher, student, other) |
| 10. Equipment Type | | Manufacturer | |
| Operating System | | Serial Number | |
| *Other Equipment | | Usage | (teacher, student, other) |
**If you have more than 10 new pieces of equipment then you will have to submit additional forms. |
| |
| Please provide this information for EQUIPMENT LOCATION CHANGES ONLY (MOVES OR EQUIPMENT THAT HAS ALREADY BEEN IN INVENTORY IN THE DISTRICT AND HAS A BARCODE NUMBER ON IT)- Use a different entry section for each piece of equipment. |
| 1. Equipment Type | | Manufacturer | |
| Operating System | | Serial Number | |
| Current Barcode Info. | | Usage | (teacher, student, other) |
| 2. Equipment Type | | Manufacturer | |
| Operating System | | Serial Number | |
| Current Barcode Info. | | Usage | (teacher, student, other) |
| 3. Equipment Type | | Manufacturer | |
| Operating System | | Serial Number | |
| Current Barcode Info. | | Usage | (teacher, student, other) |
| 4. Equipment Type | | Manufacturer | |
| Operating System | | Serial Number | |
| Current Barcode Info. | | Usage | (teacher, student, other) |
| 5. Equipment Type | | Manufacturer | |
| Operating System | | Serial Number | |
| Current Barcode Info. | | Usage | (teacher, student, other) |
**If you have more than 5 pieces of moved equipment then you will have to submit additional forms. |
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| Please provide this information for SALVAGE EQUIPMENT (EQUIPMENT THAT WAS ON YOUR INVENTORY THAT IS NO LONGER IN USE DUE TO LOSS, BREAKAGE ETC. IT HAD A BARCODE NUMBER FOR YOUR INVENTORY AND MUST BE ACCOUNTED FOR)- Use a different entry section for each piece of equipment. |
| 1. Equipment Type | | Manufacturer | |
| Operating System | | Serial Number | |
| Current Barcode Info. | | Usage | (teacher, student, other) |
| 2. Equipment Type | | Manufacturer | |
| Operating System | | Serial Number | |
| Current Barcode Info. | | Usage | (teacher, student, other) |
| 3. Equipment Type | | Manufacturer | |
| Operating System | | Serial Number | |
| Current Barcode Info. | | Usage | (teacher, student, other) |
| 4. Equipment Type | | Manufacturer | |
| Operating System | | Serial Number | |
| Current Barcode Info. | | Usage | (teacher, student, other) |
| 5. Equipment Type | | Manufacturer | |
| Operating System | | Serial Number | |
| Current Barcode Info. | | Usage | (teacher, student, other) |
**If you have more than 5 pieces of salvaged equipment then you will have to submit additional forms. |
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If you are not responsible for any type of technology inventory, please write me a short explanation here: |
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