Device Loaner Application

To request a new loaner device, please click on the link below (DEVICE LOANER APPLICATION FORM). You are limited to a maximum of (2) loaner devices - (1) laptop or tablet & (1) MiFi mobile hotspot. Supplies is limited, therefore, the sooner you submit your request, the sooner we can process it.

Verify that all information is correct. All fields with an *, are required. If you need to update your information, you must do so using CUNYfirst – it may take up to 48 hours for the information to be updated. Once you have verified your contact information, you must agree to the Device Loaner Policy and Agreement.

EMPLID*

Valid first name is required.

First name*

Valid first name is required.

Last name*

Valid last name is required.

Role*

Please provide a valid state.

BCC Email*

Valid first name is required.

Preferred Email*

Valid first name is required.

Phone Number*

Valid first name is required.

Cell Phone*

Valid first name is required.

Department*

Valid first name is required.

Address*

Please enter your shipping address.

City*

Please select a valid country.

State*

Please provide a valid state.

Zipcode*

Zip code required.

Preferred Device Type* (You can only choose a Laptop or a Tablet, not both)

For Delivery or Pick up *

Wireless MIFI (Students Only)

Are you enrolled in any of the following classes:

NOTE: (You must scroll through the agreement and check the Checkbox to continue)

Device Loaner Policy and Agreement

In response to the COVID‐19 crisis and to support ongoing distance learning, The City University of New York (CUNY) is helping as many people as possible by providing loaner internet ready computer and tablet equipment to actively enrolled students and currently employed faculty, and staff. In addition, we are trying to help those who lack broadband service at home by providing loaner devices that create mobile WiFi hotspots. The policy below outlines the responsibilities that you must accept if you are issued this equipment on loan. All equipment will be loaned by their home college on a first come, first served basis.

You must sign a copy of this policy upon receipt of any equipment. The signed copy of the policy will be kept on file until the equipment isreturned.

Care

You are responsible for taking care of the equipment (laptop, tablet, mobile hotspot, peripherals, etc.) while it is assigned to you for your exclusive use.
You are financially responsible for the replacement of lost equipment at its original purchase price,and for the cost to repair physically damaged equipment.
You are not responsible for any equipment malfunctions. Please do not attempt to repair equipment ‐ return it to your college’sIT department during the hours posted by the campus when someone will be available to receive it.
Malfunctioning equipment will be replaced if possible and available.
Report lost or stolen equipment immediately to the college IT department and to the college Public Safety if instructed to do so.

Usage

Only use equipment for CUNY related educational or business purposes.
Please do not prevent automatic updates to device operating systems or security updates. Software updates or software modifications to third party applications you install are at your risk and may not be supported by the college IT department staff.
Loaner equipment has limited storage capacity and devices will be wiped when returned after the loaner period ends. In order to prevent loss of important work, do not store any work or documents to these devices. CUNY provides external cloud storage that we strongly recommend you use. You may also save documents to a flash drive, Office 365 storage area, Dropbox, or email the documents or work to your email address.
Sign off from all applications you were using and turn off the device before you return it.

Return

When requested, or if you withdraw from classes or are no longer employed by CUNY, please returnthe equipment to your college’s IT Department immediately so that it can be returned to service.

By submitting this form, you acknowledge that you have read, understood and agree to the terms and conditions.

Signature*

signature required

Date*

Credit card number is required

Loaner No.	EmplId	Device Type	Status

FORM INSTRUCTIONS

DEVICE LOANER APPLICATION FORM

Device Loaner Policy and Agreement

Care

Usage

Return