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 





     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: