Disclaimer: Laptops are available on a first-come, first-served basis, while we have devices to loan. Submission of an email or request for one does not always guarantee that we will have a device available for loan. 

First Name *

Last Name *

Email *

Phone *

G# (Example G) *

Academic class *
- Select Option Freshman Sophomore Junior Senior Graduate Student

What is your major? *

Are you enrolled in classes for the semester in which you are requesting this laptop? (Priority will be given to stuents enrolled full-time) *
- Select Option Yes No

What is your enrollment status? *
- Select Option Full-time Part-time

Do any of the courses you are currently enrolled in utilize GVSU Save digital materials? (or online textbook/access codes) *
- Select Option Yes No

How many of your courses are online? *
- Select Option 1 2 3 or more

Are you or is someone in your immediate family a current member or veteran of the U.S. Armed Forces? *
- Select Option Yes No

Do you receive a Federal Pell Grant as part of your financial aid package? *
- Select Option Yes No I don't know

Do you live on campus or commute? *
- Select Option I live on campus I live within 5 miles away I commute from more than 5 miles away

Laptops are available for 2 week or 4 week loans. Please choose below. *
- Select Option 2 weeks 4 weeks

Briefly explain why you need to participate in the GVSU Laptop Loan Program for the semester. *