Center for Teaching Innovation
CTI Semester Loan Laptop Application
The form below is used to request a semester laptop loan. Laptop semester loans are for one semester only. Laptops must be returned to Media Services/CTI, Central Campus 152 at the end of the semester and before semester break. Borrowing requires an SSC Library Card with barcode. Responsibility for the laptop is to the barcode ID number of the faculty member. CTI laptops are for integrating technology in the classroom and will not be approved for distribution for use during a faculty sabbatical or to replace a faculty office computer.If you are approved for a laptop, please allow 3-5 days for setup and sign out.
Name:
Department:
Date of Request:

Semester Requested for Loan:

Office or Home Phone:

E-Mail:

Number of Credits Teaching for Semester Loan Period:
Years Teaching at SSC:
 Barcode
Sample Library Bar Code
Patron Bar Code #:

Replace X values

 Please briefly describe reasons for needing a laptop for a semester:



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