MCIU Assistive Technology Resource Center

MCIU Assistive Technology Resource Center

iPad Loaner Form
Full Name

First NameLast Name
Email Address
Your order confirmation will be sent to this email address.
Your School District:
Student for whom you are requesting an iPad:

First NameLast Name
Would you like to consult with Ashley Duke when picking up the device? Consult time can be 15 minutes up to an hour!
You have indicated that you do not require a consult with Ashley Duke, please specify date and time of pick up. Our regular business hours are M-F, 8:00 AM - 4:00 PM.
Thank you, Ashley will be in touch to schedule your consultation as soon as possible. If you have a preferred contact method, please indicate that below.
iPad Selection - if no case is needed, please select "No Case". Please note the screen size when making a selection. Select the checkbox for each item you’d like to order. Only items with a checked box will be included in your request.
Categories:All

All

iPad Mini (8.3 inches) + Case Selection:

iPad Pro (12.9 inches) + Case Selection:

iPad Regular, 10th Gen (10.9 inches) + Case Selection:

iPad Pro (13 inches) with M4 Chip + Case Selection:

iPad Air (11 inches) with M2 Chip + Case Selection:

iPad Air (13 inches) with M3 Chip + Case Selection
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iPad Mini (8.3 inches) + Case Selection:

LTROP Kids Case for iPad mini (8.3")
Foam case with handle in the color black

Free Quantity



NO CASE for iPad mini (8.3")
You are borrowing this iPad without a case.

Free Quantity



iPad Pro (12.9 inches) + Case Selection:

Encased Rugged Shield Case for iPad Pro (12.9")
Free Quantity



Otterbox Defender Case for iPad Pro (12.9")
Free Quantity



Soke Case for iPad Pro (12.9")
Free Quantity



NO CASE for iPad Pro (12.9")
You are borrowing this iPad without a case.

Free Quantity



iPad Regular, 10th Gen (10.9 inches) + Case Selection:

aXtion Mag Connect Bold MP Rugged Case for iPad Reg 10th Gen
Black

Free Quantity



BMOUO Kids Case for iPad Reg 10th Gen
Black

Free Quantity



Encased Rugged Shield Case for iPad Reg 10th Gen
Black

Free Quantity



LTROP Kids Case for iPad Black for iPad Reg 10th Gen
Black

Free Quantity



LTROP Kids Case for iPad Blue for iPad Reg 10th Gen
Blue

Free Quantity



LTROP Kids Case for iPad Purple for iPad Reg 10th Gen
Purple

Free Quantity



LTROP Kids Case for iPad Rose for iPad Reg 10th Gen
Rose

Free Quantity



ZAGG Rugged Book Wireless Keyboard & Case for iPad Reg 10th Gen
Black

Free Quantity



NO CASE for iPad Reg 10th Gen
You are borrowing this iPad without a case.

Free Quantity



iPad Pro (13 inches) with M4 Chip + Case Selection:

aXtion Mag Connect Bold MP Rugged Case for iPad Pro (13")
Black

Free Quantity



Logitech Combo Touch Keyboard Cover Case for iPad Pro (13")
Black

Free Quantity



OtterBox Defender Case for iPad Pro (13")
Black

Free Quantity



Targus SafePort Rugged Max Case for iPad Pro (13")
Black

Free Quantity



NO CASE for iPad Pro (13")
You are borrowing this iPad without a case.

Free Quantity



iPad Air (11 inches) with M2 Chip + Case Selection:

aXtion Mag Connect Bold MP Rugged Case for iPad Air (11")
Black

Free Quantity



NO CASE for iPad Air (11")
You are borrowing this iPad without a case.

Free Quantity



iPad Air (13 inches) with M3 Chip + Case Selection

NO CASE for iPad Air (13")
You are borrowing this iPad without a case.

Free Quantity
Would you like a shoulder strap?The shoulder strap can be added or removed to the case.
What application(s) would you like on the iPad?
Please list all the applications you would like.
Should be Empty:

MCIU Assistive Technology Resource Center

iPad Selection - if no case is needed, please select "No Case". Please note the screen size when making a selection. Select the checkbox for each item you’d like to order. Only items with a checked box will be included in your request.*

iPad Selection - if no case is needed, please select "No Case". Please note the screen size when making a selection. Select the checkbox for each item you’d like to order. Only items with a checked box will be included in your request.