Berrien County Mathematics and Science Center
                                         Texas Instrument Graphing Calculator Check-Out Form

                       Please print  _____________________________________________
                                                                                 Student name

                        The graphing calculator you are checking out represents the Center's commitment to
                        leading technology in mathematics/science education.  The 2010--11 Berrien RESA provider's
                        prices are:

TI-84+   $97.87                   TI-84+SE$116.65
TI-89 old/used  $50.00 (limited quantity) TI-89 titanium $126.06
TI-nspire  123.57
                       As a Center student, you may purchase one of these at any time.  The Center now
                       recommends the TI-nspire (non-CAS) for new calculator purchases.  These calculators
                       will be used across all three content areas and throughout the four year program of the
                       Mathematics and Science Center. Only for AP Calculus, some contests, and other
                       limited applications, is the TI-89 titanium or TI-nspire CAS recommended.

                       The Center is committed to providing access to the TI graphing calculator for all
                       students. This check-out procedure will allow you use of the calculator at home and at
                       school for those instructional units when the calculator is required.  It is a limited use
                       policy and binds you for the safe return of this instrument.  Please record the serial
                       number of the calculator you are checking out.  You are responsible for returning this
                       calculator in good working order. If it is lost, damaged, or stolen then it must be
                       replaced immediately.

                                                                      ______________________
                                                                                 serial number

                          _________________________                              __________________________
                                               date                                                                    student signature

                          _________________________                              __________________________
                                        parent signature                                                         teacher signature