Student Laptop Request Form

Student Name
Reason you are requesting a loaner laptop?
Request Start Date
Anticipated Return Date
Laptop Delivery-Shipping Address


Rules of Use

Laptop Loaner Eligibility:   Students requesting laptops must be enrolled full-time (12 cr.) in degree program.  Students requesting laptops must not be able to obtain a laptop by any other means and must demonstrate financial hardship / need within this request form.  Laptops are provided on a first-come, first-served basis to eligible students.  As quantities are limited, laptop availability is not guaranteed.

Laptop Loaner Return:   Laptops must be returned within 30 days of a student no longer being enrolled at NCCC.  Students must return the loaner at the front desk at any campus location or by mail and all components must the same condition as received.

Laptop Loaner Fines & Damages:   NCCC students may be charged replacement costs for laptops that are more than 30 days past due or for laptops that are returned damaged.  At 45 days past the due date, students will be billed a $500 lost equipment fee.  Repair or replacement costs in the event of loss due to theft, damage, negligence or misuse during student use may also be applied up to the full replacement value of the laptop ($500).