Student Laptop/Calculator

    Request Form

    student on laptop

    CBC, through the Title V Cooperative Grant “Celebrando Educación” program, has laptop computers and TI-83 PLUS Calculators for checkout to any student who is currently enrolled at Coastal Bend College.

    Laptops and calculators can only be checked out for 2 week at a time.  You can check one out by coming to the Title V Student Success Center or request one through the form below.  All technology will be available on a first-come/first served basis.

    The Software on the computers includes:

    • Windows 7 Enterprise 
    • Microsoft Office 2010 Professional
    • Adobe Acrobat Reader
    • Smart Shield4 

    Students will be required to provide a copy of their Driver’s License or State ID, copy of their Student ID Card, verification that they are currently enrolled at CBC (i.e., schedule, business office receipt), and Laptop/Calculator Loan Agreement Form in order to check out a laptop or calculator.

    At the time of Checkout and again at the time of Return, the Student and a Title V Staff member will complete a short checklist of each item provided for the loan and their current visual condition. This is to ensure all components are present and/or accounted for.


    Student Information  

     Your Name :  (Last Name, First Name)

     Your Student ID#: 


    Technology Request




     When would you like borrow the item(s)?

     Date:  [None] Select a Date Delete the Date

     Pickup Time:  (e.g. 10:00am)

     E-Mail Address:


    Contact Information  

     Telephone Number:

     Best time to contact you by phone: