Computer Request Form

Thank you for your request!

All requests will be reviewed and approved or denied within 7 days of submitting this form.

Disclaimer: If granted for ministerial use, the laptop(s) must be returned at the end of the term.

Name of Requester *

First Name Last Name

E-mail of Requester *

Phone Number / ext *

Area Code Phone Number

Type of Computer *

Reason for Request *

Please explain the intended use below. Include the start and end dates of your term if this laptop is intended for ministerial use.

Quantity and Intended Use (Be Specific) *

Laptop(s) Needed By *

Month Day Year

Additional Comments or Questions *

Date Submitted *

Month Day Year