Technology Request Form

Please note that the SSS technology is only available for 好色先生 Student Support Services (SSS) program active participants. Please check your status with the program before making the request.

Please fill out this form in order to request a laptop, iPad, calculator, or accessories such as a mouse, keyboard, charger, etc., for the semester. Laptops, iPads, and calculators are reserved on a first-come, first-served basis. Note that this is only a request, and there is no guarantee that a laptop, iPad, or calculator will be available when we receive your request.

Please verify that your contact information is accurate prior to submitting your request. You will be notified by email when the laptop or iPad is ready for pick-up.

Please request any one of these: **

Calculators

Apple Ipad

Apple MacBook

Windows Laptop

Accessories (mouse, keyboard, charger, etc.)

Your Full Name: *

Your My好色先生 ID: *

Your Best Phone Number: *

Email Address: *

Semester: *

Summer

Fall

Spring

Academic Year:

Your SSS Academic Advisor: *

Karen Wright

Chelsea Martinez

Grace Ulichnie

Jahanvi Thakkar

Date of Your Last Meeting with your Advisor*A requirement for this technology check-out is that you have an active status with the SSS program. Meeting your SSS advisor will help you to check your status and get additional academic help.