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Equipment Delivery Form

Nexuskids

Computer Buddies

I have received Computer Equipment from the Department of Social Services and/or South Carolina Foster Parents Association on this date.  I understand that the computer will be equipped with educational software to enhance the learning experiences of children in my home.  The computer is the property of the South Carolina Foster Parents Association.  Neither the Department of Social Services nor the South Carolina Foster Parents Association is responsible for repairing or otherwise maintaining this equipment.  I agree to return the computer to the Department of Social Services, acting as the agent of the South Carolina Foster Parents Association, when I am no longer a licensed foster parent, when no children have been placed in my home for a period of three months, or for other reasons which are at the discretion of the Department of Social Services and/or South Carolina Foster Parents Association.

 

_____________________________________
Foster Parent's Signature

_____________________________________
Agency Representative/Computer Buddy

_____________________________________
Date

 

 

 

The following Computer equipment has been issued to the ________________________________ foster home on this date.

 

CPU  ___________________        ________________
        Serial Number                        Tag Number

 

Montior    ___________________        ________________
                Serial Number                        Tag Number

 

Color Printer    ___________________        ________________
                       Serial Number                        Tag Number

 

Keyboard ________

Mouse ________

Printer Cable ________

Speakers ________

Phone Cable ________

 

 

 

 

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Last modified: June 04, 2008