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About Us
Staff
Eligibility
What is TRIO?
Partners
Program Impact
Contact Us
What We Do
Academic Year
Summer
Apply Now
Application
Staff Recommendation
Nominate a Student
9th Grader Interest Form
For Students
Tutoring and Advising Appointments
Scholarships
Senior Year Checklist
Canvas Login
College
Junior Year College To-do List
Senior Year College To-do List
How does college work?
Higher Education Terms
Financial aid overview
College Applications
Extracurricular activities
Resources
COVID-19 Resources
Academic Resources
Math Resources
COVID-19 News and Information
Home
UW STEMsub
Equipment Checkout Form
Equipment Checkout Form
Equipment Checkout Form
First Name
*
Last Name
*
I received the following equipment from the University of Washington Math Science Upward Bound (UW STEMsub) Program for academic use:
*
Laptop
Graphing Calculator
Other
Other
Make/Model:
*
Serial Number:
*
UW Tag Number:
*
I am responsible for its safe use and return to the Math Science Upward Bound Program on or before the last day of the current academic school year. If equipment is not returned in good working order by this date, I may be charged for replacement cost.
Print Student Name
*
Student Signature
*
Clear
Date
*
Print Parent Name
*
Parent Signature
Clear
Date
*
If you are human, leave this field blank.
Submit
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