Laptop Computer Loan Agreement
Charles W. Chesnutt Library, Fayetteville State University

By signing below, I, the undersigned borrower, agree to and acknowledge all of the following:

Prior to borrowing the laptop computer, I witnessed its physical inspection including its accessories.
All checked parts are present and appear to be functioning.

ü     I agree to allow the library staff to hold my second form of identification until I return the laptop to the
Circulation Desk, and it has been physically inspected again after my use.

ü     I accept full responsibility for the laptop computer and accessories I am borrowing.  I understand
that the computer and accessories must not leave the Library.  I understand that if they do, the
matter will be turned over to FSU Campus Police and other appropriate FSU authorities.

ü     I will reimburse the Chesnutt Library for repair or replacement costs of this laptop and/or
accessories if they are damaged, lost, or stolen while checked out in my name.  I understand
that the replacement cost for this laptop computer will be no less than $2,500 and a $25
processing fee. (Borrower must Initial here__________)

ü     I will pay a rental charge of $10 per hour if I fail to return this laptop and all accessories to the
Circulation Desk by the time it is due today. (Borrower must Initial here__________)

ü     I do hereby verify that I have read and understand this Laptop Computer Loan Agreement as it
pertains to the circulation of a Chesnutt Library laptop computer, and I agree to abide by these
policies and all policies of FSU relating to computer use. FSU and its agents have the right to
review any and all information in or on the laptop for any reason, at any time, without notice to me.
I agree that the Library may terminate the loan of the laptop, without notice to me, if it appears that
the laptop has been abandoned by the borrower, used in violation of FSU policy, or used in a
manner that is likely to damage the machine beyond reasonable wear and tear.  I agree that my
obligation, if any, to pay rental charges, replacement or repair costs, and any other fees relating
to the laptop shall survive termination of the loan.

Full Name (Please Print):  _____________________________________________________
                                         (Last)                                                     (First)                                             (MI)
University ID: _______________________________________

E-mail Address: _____________________________________  

Telephone Number:  ________________________________

 ___________________________________________________
Signature of Borrower                                       Date

____________________________________________________
Checkout:          Employee’s Initials                       Date/Time

 ____________________________________________________
Check-in:           Employee’s Initials                      Date/Time