BSU CONSTRUCTION MANAGEMENT
Mobile Technology Loaner Request Form
Name: ________________________________________
BSU Email: __________________________________________
Student ID#: _____________________
Status:
[ ] Freshman
[ ] Sophomore
[ ] Junior
[ ] Senior
[ ] Other
Courses you are enrolled in that required an iPad:
Please give detail as to why you need a loaner iPad rather than purchasing one as required by
the BSU Department of Construction Management.
Attach additional sheets if needed.
Signed: _______________________________________
Date: _______________
Please Note:
• Return completed form to Andy Diehl in ENGR 201
• Completing this form does not guarantee that you will receive a loaner iPad. A BSU Construction
Management faculty member will contact you concerning the request.
• If you drop or withdraw from the course(s) that require an iPad, you are no longer eligible to have a
loaner iPad. If you have already received one, it must be returned immediately.
Revised: 8/21/13