Pepperdine University iPad and iPad Kit Loaner Agreement
Course: MATH 214, Instructor: Timothy Lucas
I ________________________________________ _______________________ acknowledge
Print name here
CWID #
receipt of an iPad and its accessories (iPad hard case, USB charger cable, outlet plug, cleaning
cloth, and soft sleeve) with the Mac address of ____________________________________ and
serial number of ____________________________.
I also acknowledge that this iPad and its accessories are the property of Pepperdine University
and is being loaned to me for the duration of the fall 2010 term for as long as I am officially
enrolled in course MATH 214. If I choose to leave the University or to drop this course, I will
return the iPad to my instructor Timothy Lucas within one business day of dropping the class or
leaving the University.
I. Damage
I acknowledge and agree that I am solely responsible for the iPad upon issuance by the
University. If my iPad is damaged in any way, I will notify my professor and Pepperdine
Information Technology at (310) 506-4173 immediately. I acknowledge that I am responsible for
any lost class time or missing assignments as a result of not having an iPad or having a broken
iPad.
II. Loss or Theft
If this iPad is stolen or lost, I will report the theft or loss iPad to my campus Public Safety office
(310) 506-4442 at the time it occurred and provide a police report documenting the theft of the
computer. I will also notify my professor and Pepperdine Information Technology at (310) 5064173 of the lost or stolen iPad immediately after I notify Public Safety.
III. Returning the iPad and its Accessories
Information Technology will be using your iPad again in spring 2011 for a different course.
When your iPad is returned to Information Technology at the end of the fall 2010 term, it will be
wiped of any personal information, programs, or applications that were used during the term. Any
additional applications you choose to purchase for the iPad will be deleted when the iPad is
returned to Information Technology. You will not be refunded for any personal or educational
purchases.
I agree to be billed for the replacement cost of $700.00 for the iPad, the USB charger cable, and
outlet plug and/or an additional $42.41 for the iPad hard case and/or $15.21 for the soft sleeve or
any portion thereof, if I fail to return the iPad and all accessories in their original condition
(excluding ordinary wear and tear and any repairs covered by the warranty) by the following
referenced due date: December 10, 2010. Finally, I understand that the University reserves the
right to place a hold on my account in registering for future classes or obtaining my transcripts if I
fail to return the iPad and iPad accessories or pay the replacement costs.
IV. Research Project
I understand that I am being issued this iPad in conjunction with a Pepperdine-sponsored research
study to understand the effectiveness and impact of learning technology on student learning
outcomes. As such, by accepting this iPad, I also agree to comply with the minimal researchrelated requests associated with the course and iPad. A separate informed consent agreement will
discuss the research requirement.
V. Use of iTunes Gift Card
As part of this study, I will be issued a gift card in the amount of $11.98 to purchase applications
for use in course MATH 214: Calculus for Business and Economics. Upon receipt of the gift
card, I will install the following applications to the iPad through the iTunes store:
1. Graphing Calculator HD (Cost: $1.99)
2. Numbers (Cost: $9.99)
I understand that the installation of the applications listed above is required for my participation
in both MATH 214 and the iPad study. I acknowledge that this gift card is to be used to purchase
only the applications listed above. Any unauthorized use of the gift card is strictly prohibited.
Pepperdine University is not responsible for loss, theft, or misuse of issued gift cards. Lost,
stolen, or misused gift cards will not be replaced. I am responsible for purchasing the applications
listed above in the event of loss, theft, or misuse of the gift card issued to me.
VI. In Conclusion
By signing my name below, as a student in course MATH 214, I agree to all terms and
conditions in this document and I am in receipt of an iPad and its accessories as well as an
iTunes gift card.
____________________________________________
Signature of Student
_______________________
Date
____________________________________________
Signature of Professor
_______________________
Date
____________________________________________
Signature of IT Staff
_______________________
Date
 I agree to not accept a Pepperdine University iPad and instead will use my own personal iPad to
participate in all class activities and the iPad research study activities. In addition, I am aware that
the University will not support my iPad should it need repair, or replace it if it is lost while being
used in class this semester. I also acknowledge that I have been given an iTunes gift card [see
Section V] to purchase applications for my personal iPad that are needed to participate in this
research study.