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    Student Laptop/Calculator
     

    Request Form 


    student on laptop 

    In support of Student Success the Title V Cooperative Grant “Celebrando Educación” program is making available for loan 25 laptop computers and 20 TI-83 PLUS Calculators for any student who is currently enrolled at Coastal Bend College. 


    Laptops and calculators can only be checked out for 1 week at a time.  You can check one out by coming to the Title V Student Success Coordinator’s Office in V-149 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.
     

     

    Laptop Loan Agreement (PDF File)  

    Calculator Loan Agreement (PDF File)

     

    Student Information   

     Your Name :  (Last Name, First Name) 

     Your Student ID#:   

     

    Technology Request 

                        

    Campus

     

       

     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:  

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