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spacer spacer Computer Loaner Request Form

IT Support Services has a small inventory of computers available on a temporary basis for faculty and staff to be used for emergencies or special requests, including but not limited to:

  • a special event like registration, add/drop, and submitting housing applications
  • a position is filled prior to a workstation being purchased for the position
  • a faculty member on sabbatical takes his/her laptop and the replacement has no workstation
These loans are short-term, no longer than 1 academic semester, and you will be contacted to arrange the return of the workstation after the end date listed on this form. This is only a request form. Approval is dependent on the availability of a workstation.

Requestor's Name                                           Title                                                                     

Email Address                                                  Phone Number                   

User's Name                                                   Title                                                                     

Office Location                                                 Email Address                                                              

Reason for Request

Location of Computer (Building and Room)

Time Period for which loaner is required

Special Instructions



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