d5 ipad collection form

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Page 1: D5 Ipad Collection Form

Students and Parents/Guardians, District Five has determined that the District issued iPad minis need to be collected for servicing over the summer. We are asking your help in getting the District-Issued iPad Mini turned in. The following steps will help the return process go much faster. Please contact the Eagle ER Help Desk ahead of time if there are any problems or questions completing the steps below.

Please bring this form with you when turning in the iPad. Schedule: iPad collection will be in Room B227 Media Presentation Room behind the Media Center.

Seniors: May 21 - May 29 7:30– 8:15AM & 3:40 – 4:15PM Underclassmen: May 30 - June 3 7:30– 8:15AM & 3:40 – 4:15PM June 4, 5, 6 7:30– 8:15AM & 11:45 – 12:15PM

Student Name: _______________________________ Student Number: __________________

☐ Verify that any work, pictures or content you want to keep has been backed up before you wipe the device! ☐ Restrictions has to be turned off (if they were set up by parents or administration.) ☐ Reset the iPad -

Go to Settings → General → Reset → Erase All Content and Settings Go through the setup process to get back to the home screen:

o Set up as a new iPad, and tap "skip this step" when asked to enter an Apple ID o Do NOT put in your iTunes account after the reset o Do NOT put a passcode on the device

☐ Charger is working (or you have a working replacement to turn in) ☐ If there are any damages to the iPad, please have a written statement ready with details about how the damage occurred (this is for insurance purposes, and will not be used for any discipline issues!)

FOR SCHOOL PERSONNEL

ITEM STATUS NOTES (condition, other circumstances)

iPad mini ☐ returned ☐ not returned ☐ stolen (police report required)

iPad mini charger ☐ returned ☐ not returned

iPad case ☐ returned ☐ not returned

Fees to be charged

☐ $299 iPad mini (includes District purchased apps and charger, does not include case)

☐ $30 iPad mini case

☐ $39 iPad mini charger (missing or not working)

☐ $50 damages to iPad (if insurance not purchased) - please note damage below

TOTAL FEES CHARGED FOR IPAD: $_________ School staff receiving iPad: ______________________ Date _______________ Comments: