SRJC Student Laptop Loan Form

1 Start 2 Complete


We are currently not processing laptop loan requests. We will be accepting requests for summer and fall. You may fill out the form below and someone will contact you when we begin processing again. If you do not hear back after the first week of school please contact:

***Para recibir la applicacion en español, correo electrónico:***

The goal of the Laptop Loan Program is to provide laptops or tablet computers to students to increase their access to education in support of SRJC's mission to offer opportunities to our diverse population of learners.

For help contact the Student Life Office at

Selection and Notification: Once applications are submitted, they will be screened and processed by the SRJC Student Life Office on a case-by-case basis. Once approved, you will be notified by email about next steps for obtaining a laptop.

IMPORTANT: Completion of this form does not guarantee participation. Supplies are limited due to global demand for technology.


By checking the box below and pressing "Submit" I certify the following and sign with today's date and time:


***Applicants are screened and ranked according to highest need (due to the limited availability, we cannot approve all who ask for assistance). Students not selected due to limited inventory will be notified, but their applications will be kept and reviewed as more devices are made available.***