WYOMING CENTER FOR LEGAL AID
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1 (Please Print Information Below) WYOMING CENTER FOR LEGAL AID Skype Clinic Laptop and Printer Loan Agreement Site Host Host Organization Mailing Address Contact Phone Number City, State, ZIP Fax Number Address Equipment Issued _ Serial # _ Serial # _ Serial # _ Serial # _ Printer _ Printer _ Serial# _ Serial# Equipment Returned By signing the below, I certify that the equipment indicated above was provided as indicated above and hereby agree to abide by the terms and conditions of this Agreement. I understand that the above-named Host Organization is assuming responsibility for the laptop and will provide proper care for the laptop according to the guidelines outlined in this Agreement. Issued Returned Signature Signature WCLA Program Administrator WCLA Program Administrator Date Date Expected equipment return date WCLA Skype Equipment Loan Agreement - Page 1 of 3
2 SKYPE CLINIC LAPTOP LOAN AGREEMENT For the Wyoming Center for Legal Aid This Laptop Loan Agreement ( Agreement ) is between, ( Host Organization ) and the Wyoming Center for Legal Aid ( WCLA ), and is subject to the terms and conditions below. I. TERMS AND CONDITIONS A. TITLE. The Wyoming Center for Legal Aid ( WCLA ) holds the rights to possess and transfer custody of the laptop computer and its installed software during the Term of this Agreement to the above-identified Host Organization ( Host Organization ). B. CUSTODY. The above-identified Host Organization is a licensee with rights to utilize the WCLA s laptop computer during the term of this Agreement, contingent upon all other terms and conditions stated herein. C. TERM. The term of this Agreement shall begin, and shall expire on. D. GENERAL CONDITIONS FOR USE 1) ACCEPTABLE USES. The WCLA's technical resources are provided for the purpose of longdistance communication between a pro-bono or legal aid attorney and a rural client as part of a Skype Clinic program administered by WCLA. These technical resources are to be reviewed, monitored, and used only in that pursuit. The Host Organization may be permitted to use these WCLA technical resources for other related purposes only with permission from WCLA. 2) UNACCEPTABLE USES. The laptop must not be used to pursue any non program-related or illegal activities. The Host Organization may only access files, data, and computer programs that are related to the Skype Clinic program. Unauthorized review, duplication, dissemination, removal, installation, damage, or alteration of files, passwords, computer systems or programs, or other property of the WCLA, or improper use of information obtained by unauthorized means, is prohibited. E. GUIDELINES FOR PROPER CARE. 1. Do not eat or drink while using the laptop; 2. Do not leave the laptop exposed to direct sunlight; 3. Do not drop the laptop or allow it to fall; 4. Unplug the laptop during electrical storms; 5. Give care appropriate for any electrical device; 6. Perform regular preventative virus scans on all disks placed in the laptop; 7. Do not attempt to repair a damaged or malfunctioning laptop; 8. Do not attempt to upgrade the computer or software; 9. Do not allow children to play on the laptop; 10. Do not leave the laptop unattended; 11. Do not leave the laptop in any unlocked office, room, home or car; 12. Do not leave the A/C adapter behind when moving the laptop. WCLA Skype Equipment Loan Agreement - Page 2 of 3
3 F. SANCTIONS FOR VIOLATIONS. WCLA assumes no liability for the Host Organization, its employees, clinic users or any other users conduct in violation of this policy. G. CONFORMANCE WITH ORGANIZATION POLICIES. The Site Host and any other Host Organization employee must comply with all applicable provisions of the Host Organization s Internet Use Policy, Equipment Policies and Copyright Compliance Policy. H. PRIVACY. The Host Organization, Site Host, other Host Organization employee, clinic user, or any other user has no right of privacy as to any information or file maintained in or on WCLA's property or transmitted or stored on the WCLA's laptop computer. I. MODIFICATIONS AND UPGRADES. The laptop cannot be modified or upgraded by the Site Host, Host Organization or other Host Organization employee without the express written consent of WCLA. J. MAINTENANCE AND REPAIR. The Host Organization shall keep the laptop and all software in good working order and condition. If repairs are necessary, the laptop and software shall be repaired by WCLA, or another entity designated and approved by the WCLA. The Host Organization may pay the fee and that fee will be reimbursed by the WCLA if approved beforehand. K. STOLEN, MISSING or DAMAGED LAPTOP. The Host Organization shall keep the laptops reasonably safe and secure from unauthorized use and access. Any laptop, related equipment or software that is discovered to be stolen, missing or damaged must be reported to WCLA IMMEDIATELY. If criminal activity is suspect in the theft, loss or damage, then a report must be made to the nearest law enforcement agency. A copy of a police report must be delivered to the WCLA within two (2) business days. The Site Host should submit a report of the relevant events as well as any relevant document to WCLA. L. TERMINATION. WCLA may terminate this Agreement without notice. M. ASSIGNMENT. The Host Organization may not assign, sublease, or otherwise transfer any rights or obligations under this Agreement without the express written approval of WCLA. N. ENTIRE AGREEMENT. Each party acknowledges that it has read this Agreement, understands it, and agrees to be bound by its terms. Each party further agrees that this Agreement is the complete and exclusive statement of the Agreement between the parties, and that this Agreement supercedes and merges all prior understandings or agreements. This Agreement may not be modified, unless in writing. O. GOVERNING LAW. This Agreement is governed by and construed in accordance with the laws of the State of Wyoming. Any proceedings related to this Agreement shall be conducted in the First Judicial District Courts of Wyoming. P. RETURN POLICY. Upon expiration of the term of this Agreement, the Host Organization shall return the laptops, printer and all related equipment and all software to WCLA. The responsible WCLA program administrator shall promptly check in all equipment. A Skype Clinic Laptop and Printer Loan Agreement must be completed for WCLA to consider the equipment returned. I have reviewed the above-stated terms and agree to comply with the terms. DATED Host Organization Authorized Name/Signature WCLA Authorized Name/Signature WCLA Skype Equipment Loan Agreement - Page 3 of 3
4 WYOMING CENTER FOR LEGAL AID CLIENT SKYPE CLINIC EVALUATION Date: Case #: Client: Attorney: Please rate how satisfied you were with [Attorney s Name] and the Skype services on a scale of 1 to 5. Circle the number below that shows how satisfied you were. Description Very Dissatisfied Somewhat Dissatisfied Do Not Know Somewhat Satisfied Very Satisfied How helpful was the attorney to you? How well did the attorney explain your legal rights and options? Was it beneficial to you to have a face-toface conversation with your attorney via Skype? Would you utilize this service again? Will you tell others about this service? Where did you hear of the Skype Clinic? Suggestions for improvement of our program: Comments:
5 WYOMING CENTER FOR LEGAL AID PRO BONO ATTORNEY EVALUATION Name: Client: Date of consult: Total Time Spent: Describe the work completed:. What was the result of the consult?. On a scale of 1 10 with 10 being most applicable, and 1 being least applicable, was the use of Skype helpful for this consultation? Would you be willing to conduct more pro bono consults/representations in this manner? What can we do to improve the flow of the Skype clinic?. Comments:
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