Loaner Laptop Request Form

We have a limited number of laptops available for short-term loans to College faculty and staff. The laptops are available to borrow for a minimum of one (1) week, and a maximum of two (2) weeks. Please read the Loaner Laptop Policy before submitting your request.

Requests must be submitted 48 hours prior to the intended pick-up date to ensure availability.

  • Contact Information

  • Example: (123)-456-7890
  • Example: (123)-456-7890
  • Building
  • Room
  • Laptop Loaner Request Information

  • Date Format: MM slash DD slash YYYY
  • (Will the laptop be used in a special IT environment? For example, will you be using the laptop at another institution?)