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COMPUTER LOANER Form

COMPUTER LOANER Form

Filling out this form does not ensure a computer will be provided.  This form places you on the list of people requesting a computer.  The process of providing a computer can take months.  Attendance at Odyssey requires a computer and internet provided at student's home.
10Questions

HIPAA

Compliance

Language
  • English (US)
  • Spanish (Latin America)
  • 1
    STUDENT 1: You will list all Student Names of ENROLLED students at all ODYSSEY CHARTER SCHOOLS
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  • 2
    STUDENT 1: List all Student ID#
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  • 3
    Choose the school that Student 1 attends at Odyssey
    • Elementary School
    • Middle School
    • High School
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  • 4
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  • 5

    ADDITIONAL ODYSSEY STUDENTS
    Student 2
               
    Student 3
               
    Student 4
               
    Student 5
               

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  • 6
    Please give the name of the parent/guardian that will be responsible for the computer
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  • 7
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  • 8
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  • 9

    Conditions of computer loan:

    • I understand that if I withdraw my student from Odyssey the computer will be given back at the time of withdrawl in the same condition it was loaned.
    • I understand that any software or hardware installed on this computer must be approved by the technology department
    •  I am responsible for an internet service provider (IEP) and any changes that may occur.
    • I understand that if this computer fails, I will have to go back on the waiting list to receive another loaner computer.
    • I am responsible for monitoring all internet activity on this computer while it is in my possession.
    •  I understand that if I don't return this computer back to the school, OCS reserves the right to report it stolen to the police department.


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  • 10
    PRESS SUBMIT TO BE ADDED TO OUR COMPUTER LOANER LIST
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    Pick a Date
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  • Should be Empty:
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