NOTE: You must be enrolled to receive a loaner laptop and enrollment is verified by the staff. Approved requests will receive an appointment for pick-up. All communication from the College will be sent to the requestor’s contact information officially provided to SSC.

First Name*

Last Name*

Student ID Number*

SSC Email Address*

Phone Number*

Mailing Address*

City*

State*

Zipcode*

Semester of Request (Check All That Apply)*
FALLSPRINGSUMMER

Are You Receiving Financial Aid?*

Are You In Good Standing With The College?*

If No, Please Explain:

Please leave this field empty.

South Suburban College

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Loaner Laptop Request Form