Issuance of Company Property

Branch:*

NobleChildren's Services

Employee Name: *

First NameLast Name

Children's Services Issued Property: (Select all that apply)*

Galaxy A7 Tablet 32 GB $299.98Galaxy A7 Bluetooth Keyboard $71.99Tablet Sleeve $30.00Other

Galaxy A7 Tablet Asset Tag #: *

Galaxy A7 Tablet Serial Number: *

Noble Issued Property: (Select all that apply)*

Laptop Asset #: *

Desktop Computer Asset #: *

Tablet/ iPad Asset #: *

Dock Asset #: *

Printer Asset #: *

Scanner #: *

Monitor Asset #'s:*

List all monitor asset #'s

How many computer stands?*

Camera Asset #:*

HR #9.2 Employee Internet and Email Usage

I have read Noble’s HR Procedure #9.2: Employee Email and Internet Usage.

I recognize and understand Noble’s internet and email systems are provided as communication tools for conducting Noble business and that all messages, files and traffic are subject to monitoring by Noble.

As an employee, I understand that this policy applies to me, and I agree to follow all provisions of the policy. I further understand that my communications via email and the internet reflect upon Noble, and agree to abide by the standards set forth in this policy for the duration of my employment with Noble.

I am aware that violations of Noble’s policies applicable to email and internet usage may subject me to disciplinary actions, up to and including discharge from employment.

I also understand that Noble may amend this policy at any time.

I acknowledged and understand my responsibilities regarding HR #9.2 Employee Internet and Email Usage.*

YesNo

Noble IT#7- Technology Systems, Computer, Email and Internet Access & Usage

I acknowledged and understand my responsibilities regarding Noble IT#7- Technology Systems, Computer, Email and Internet Access & Usage*

YesNo

Noble IT#30 -Employee Responsibility for Damage, Loss or Destruction of Company Property

Employee Acknowledgment of IT Procedure # 30 Employee Responsibility for Damage, Loss, or Destruction of Company Property

I acknowledge that I have received and read the Information Technology Procedure # 30 Employee Responsibility for Damage, Loss, or Destruction of Company Property. I understand that this procedure applies to all employees, contractors, interns, and volunteers of Noble who are issued company-owned property or equipment.

I understand and agree to the following:

I am responsible for using all Noble-issued property and equipment solely for authorized business purposes and for maintaining it in good working condition.
I will take reasonable care to prevent damage, theft, or loss of company property.
I will immediately report any loss, theft, or damage to my supervisor and IT/Operations in accordance with the procedures outlined in this procedure.
I understand that I may be held financially responsible for repair or replacement costs if equipment is lost, stolen, damaged through negligence or misuse, or not returned upon separation of employment.
I understand that Noble may deduct replacement or repair costs from my final pay, seek reimbursement through other means, or take civil or criminal action if necessary.
I agree to return all company property issued to me upon termination of employment, reassignment, or when it is no longer required for my position.
I acknowledge that failure to comply with this policy may result in disciplinary action, up to and including termination.

By signing below, I acknowledge that I have read, understand, and agree to comply with the terms and responsibilities outlined in this procedure.

Employee Acknowledgment of IT Procedure # 30 Employee Responsibility for Damage, Loss, or Destruction of Company Property I acknowledge that I have received and read the Information Technology Procedure # 30 Employee Responsibility for Damage, Loss, or Destruction of Company Property.*

YesNo

Best Practice in Device Cleaning

I acknowledged and understand my responsibilities regarding best practices and requirements for device cleaning.*

YesNo

Key(s)

	Key #	Purpose/ Access
1
2
3
4
5
6
7
8
9
10

I acknowledge I have been given a key fob. I agree to keep Noble property secure and return upon my exit from Noble employment.*

Yes

I acknowledge I have been given the noted Noble keys. I agree to keep Noble property secure and return upon my exit from Noble employment.*

Yes

Comments: (Other assets, note if assets are at a home office, etc.)

I acknowledge that while I am working for Noble/ Children's' Services I will take proper care of all company equipment that I am entrusted with. I further understand that upon termination, I will return all Noble/Children's' Services property in proper working order. I understand I will be held financially responsible for lost or damaged property. This agreement includes, but is not limited to, laptops, cell phones and other equipment. I understand that failure to return equipment upon termination of employment will give Noble/ Children's' Services the right to withhold payment for said property from final pay and if this is in excess of final pay, may be considered theft and may lead to criminal prosecution by Company.*

Date*

Date

Employee Company Email Address: *

j.doe@mynoblelife.org or jdoe@kidsonlyinc.com

Noble IT#7- Technology Systems, Computer, Email and Internet Access & Usage

Children's Services IT#1- Computer, Email and Internet Usage and Access

I acknowledged and understand my responsibilities regarding Children's Services Procedure IT#1.*

YesNo

Last 4 Digits on the Card:

Expiration Date on the card:

Financial Procedure #22- Company Credit Card Usage

I have received the corporate credit card indicated above. I take responsibility for all expenses charged to this credit card and I agree to the following: •Use of the corporate credit card is for business-related travel, meals, hotels, car rentals and other budgeted approved business-related expenses. •Personal expenses may not be charged to the corporate credit card. IF personal expenses are charged on the corporate credit card, I authorize payroll deductions for the expenses. •All receipts for charges to the corporate credit card must be submitted each month to the finance office along with a monthly expense report. •The corporate credit card must be returned to the Director of Human Resources immediately upon termination or resignation, or at any time upon request. I have read, understand and agree to the above-mentioned terms governing the use of the corporate credit card. I understand misuse or abuse of this credit card or willful violation of the terms of this agreement may result in personal financial liability and disciplinary action up to and including termination.*

ISSUANCE OF COMPANY PROPERTY