Office of Research and Sponsored Programs Foundation Administration
OFF-CAMPUS USE OF FOUNDATION PROPERTY
It is the policy of the Foundation that Foundation property is not removed from the campus unless it is necessary for the performance of Foundation or University activities. The conditions under which the Foundation property or materials may be used are listed below and are hereby a part of the agreement signed for on this form. This form must be completed and approvals obtained prior to property being taken off campus.
Check Out Date: Project #
(Check One)
Indefinite Time Period
Short Term Check Out—Expected Return Date:
Item Description: Foundation Tag# F-
Item Description: Foundation Tag# F-
PROJECT SITE –Complete this section for all tagged property used at an off campus site and all tagged laptops/Netbooks regardless of location.
Project Title:
Equipment Location: City: Zip:
RESIDENCE SITE-Complete this section for property used at an off-campus residence.
EMPLOYEE AGREEMENT
I, hereby agree to the following as conditions of removal of Foundation property:
(Print or Type)
• to be responsible for loss or damage to property,
• to use property only for Foundation/University activities,
• to return property on due date or upon request,
• to pay for property which is damaged or lost
Local Address: City: Zip:
Phone: () - Email
Employee Signature: Date:
Project Director’s (PD) Approval
Having determined that the off-campus use of Foundation property is necessary to perform Foundation or University activities, I authorize the use of the property for the project stated above and assume responsibility for all property purchased with project funds. If employee is the Project Director, supervisor’s signature is required.
Approved By: Extension:
(Print or Type Name)
Authorized Signature: Date:
(Project Director)
Supervisor’s Signature Date:
Foundation Approval
Approved By:
(Print or Type Name)
Authorized Signature: Date:
Equipment Return
I certify that the above listed property was returned to the Foundation in satisfactory condition on
(Date)
Authorized Signature: Title:
(Project Director)
Distribution: Send completed form to RESP (zip 870) or Foundation. Admin. (zip 246)
Retain one copy for project records Rev 5/2010