Laptop Loaner Form

Laptop Loaner Request
The Bioinformatics department has MacBook loaner laptops available to students whose laptops are in need of repaired.

Requirements to obtain a loaner laptop:

Must be an enrolled as a Bioinformatics Masters or PhD student;
Loaner laptop usage for specified repair timeframe;
Available on first come, first serve basis.
Name of Requester*

First NameLast Name
E-mail of Requester*
Loaner Start Date*

MonthDayYear
Date
Loaner End Date*

MonthDayYear
Date
Required Software*

MS OfficeVPNOther
Additional Information*
Please verify that you are human*
Should be Empty: