User Name:		P.I.D.
local           Address:		Phone
		Email
Permanent           Address:		Phone

 

 

Room	Dates of Usage			Associated	Office use only:
Requested		from	to	Class / Project	Key / Stamp

 

 

USER ACKNOWLEDGMENT:

	Initial
· Responsible for the security of the room and its contents while the room is open due to the exercise of the user key(s).	____________
· Responsible for controlling the use of the key(s).  It is against Music Department policy to loan your key(s) to others.	____________
· Responsible for securing and returning the room to its original condition after it’s use.	____________

 

The user is required to pay a deposit of $10.00, checks payable to UC Regents.  Failure to return key(s) by due date, loss of key(s), or irresponsible use of key(s), may result in loss of key privileges, forfeit of key deposit, and fines covering the actual costs incurred by the Music Department to re-key, change locks or repair damage to equipment or rooms.  Issued key(s) subject to recall at any time.  See reverse for further policies.

 

User Signature/Date: ________________________________________

 

 

	Shaded area office use only
Faculty Approval:
Dept. Approval:

 

 

 

General Key Use / Issuance Policy

 

 

Once issued a key(s), you are responsible for security of the room and its contents while the room is open due to the exercise of the issued key(s).  You are charged to return the room back to its original condition after it’s use, and responsible to make sure it is locked when you leave.  It is against Music Department policy to loan your key(s) to others.  You are solely responsible in returning your key(s) at the specified due date.

 

 

 

Graduate Students:

· Graduate Students are issued keys to provide access to rooms required for their academic work and to allow them to perform their assigned duties as Teaching and Research Assistants.

· Keys will normally be issued for the full Academic year (Fall, Winter, and Spring quarter).  Exceptions would include cases where the student would complete University work and leave before the end of the Academic year.  Other cases would be temporary key use to complete a specific project.

· Graduate students are not required to pay the $10.00 deposit.  However, they may be disciplined for loss, misuse, or failure to check-in their keys when they are due or before they depart the University.  Discipline may include loss of key privileges and fines to repair damage, replace and re-key locks.

· Graduate students may request keys by use of this form.  However, they must have Faculty signature and Music Department Authorization.

 

 

Undergraduate Students:

· Undergraduate Students are normally only eligible for keys to the instrument locker room and practice rooms.  There are circumstances delineated by separate practice policies which allow Undergraduates access to classrooms and other spaces.

· Locker and practice room keys are normally issued for the full Academic year (Fall, Winter, and Spring quarter).  Exceptions would include cases where the student would complete University work and leave before the end of the Academic year.  Other cases would be temporary key use to complete a specific project.  For class associated issued key(s), they are  due on the Friday of tenth (10) week of the quarter issued.

· Undergraduates are required to pay a $10.00 deposit, checks payable to UC Regents.  Loss, misuse, or failure to return key(s) when due or before departing the University may result in loss of key use privileges, forfeit of key deposit, and reimbursing the Music Department for damages, replacing and re-key locks.

· Undergraduate students may request keys by use of this form.  However, they must have Music Department Authorization.  Non-music majors must have Faculty signature as well as Music Department Authorization.