END-OF-SEMESTER CHECKOUT FORM
This is to certify that I have turned in all records and equipment and have cleared all parking tickets as indicated below:
|No A printout of final grades that have been entered into the system via the Internet. Please print your name on the top of each class roll.
|No Original Class Record book (Grade book) has been turned in to the Academic Division.
|No For Academic Year 2014-2015 Only:
|Blackboard Course Sites for 2014-2015 have been exported and saved to a storage device or cloud-based
|storage. (Export file integrity has been verified.)
|No All Library Books have been returned to the Library.
|No All Audio-Visual Equipment has been returned to Media Services.
|No Delgado Parking Tickets have been paid or cleared through Campus Police.
|No Monthly/Quarterly Safety Training has been reviewed and acknowledgement receipt has been electronically submitted.
|Signature of Faculty Member Date
Form 2122/002 (4/15)
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