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Laptop Request Form
Please fill out this form to request a laptop to borrow. We have a
limited supplies
of laptops to loan; therefore, laptops are first come, first serve.
Thank you!
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Personal Email Address (
Do not enter RAS provided email account!
)
*
Your answer
First Name and Last Name
*
Your answer
Phone Number
*
Your answer
What Program are you in or planning on enrolling into?
*
High School Diploma
GED
ABE Reading
English as a Second Language
Citizenship
Other:
I understand that when my laptop is ready for pick up, I will receive an e-mail to the email address I listed on this form. If I do not pick up the laptop by the date listed in the email, it will be returned to inventory.
*
I understand.
Required
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