Instructional Materials Borrower's Agreement

METRO WEST GLRS INSTRUCTIONAL MATERIAL BORROWER'S AGREEMENT
MEMORANDUM OF UNDERSTANDING
Metro West Georgia Learning Resources System (MW GLRS) is one of 17 statewide centers that serve a a teacher support system for special education and other professionals who work with exceptional children. MW GLRS maintains an electronic instructional materials library where special educators can preview and borrow materials. Up to five (5) items can be checked out at one time for a period of four (4) weeks. In order to check out materials, this agreement must be completed in full, including location and area of specialization.
LAST NAME
FIRST NAME
SCHOOL NAME
EMAIL ADDRESS
STREET ADDRESS
CITY
ZIP
DISTRICT/SYSTEM
OTHER
JOB/POSITION
OTHER
I understand that I am responsible for materials checked out in my name and must return them within the four (4) week period. Should these materials be lost, stolen or damaged, I understand that I am responsible for replacing them.
By checking this box you (the patron) agree to the Metro West GLRS terms of use.

I AGREE
SIGNATURE
Should be Empty:

METRO WEST GLRS INSTRUCTIONAL MATERIAL BORROWER'S AGREEMENT