Name

Phone

School

Email Address

Title

Grade(s) Taught

Subject Area(s)

Address

Regulations:

1. There are no user fees for borrowing the trunks; however, educators are required to pay for insured return shipping. (Approximate cost is $15-25 per trunk)
2. Trunks should be insured for $300 and poster tubes for $30.
3. The borrower agrees to check all items against the inventory list when the trunk is received and to notify the Outreach Coordinator if anything is missing.
4. The borrower agrees to replace or pay for any lost or damaged materials.
5. Items are not to be used for commercial purposes.
6. All items will be returned on the due date specified by the Outreach Coordinator. Any extension requests must be approved via phone or email by the Outreach Coordinator within 5 days of the due date.
7. There is a maximum one-month lending period for trunks.
8. If the trunk is not received by the due date a 2-day grace period will be granted for the return of materials.
9. After the 2-day grace period the institute charges a late fee of $5.00 per day. (Late fee funds will be used for the acquisition of additional materials.)
10. The borrower agrees to complete an evaluation form for all trunks borrowed.

I have read the lending regulations and agree to abide by them.

Signature

Date

By submitting this form, you are agreeing to abide by the regulations stated above.

Please direct all questions to the Outreach Coordinator, Juliana de Sousa Solis, at (574) 631-8523 or jdesousa@nd.edu