Student Request for Technology Loaner Form

NOTE: If you are a student in either the Catalyze or TRIO programs, please do not complete this form. Instead contact the Catalyze or TRIO program director for technology loaner assistance.

* = required field

Please complete the section for which you need a loaner. Respond to all questions with complete answers. If you need both a computer and the internet access (hotspot), you will need to complete both Sections 1 and 2.
Section 1: Computer Loan Request
Section 2: Internet Access (HOTSPOT) Loan Request
Please direct all loaner questions to the Center for Academic Enrichment (CAE) via at [email protected] or phone 536.387.1270. Please direct all technology issues to [email protected] or phone 563.387.1000.
(Please don't fill in this field.)
(Please don't fill in this field.)
(Please don't fill in this field.)
(Please don't fill in this field.)