Lurie College of Education CalTPA/PACT Equipment Request Form
CalTPA/PACT Equipment Request Process:

Step 1:
Please complete and submit the online request form below.

Step 2:
A copy of your request will be emailed to you so that you know your submission was received.

Step 3:
Within 24 hours of your request being received, a Technology Support staff member will notify you by email whether or not the equipment is available.
If you do not receive a response within 24 hours, please forward the email receipt of your original request to coe.sjsu@gmail.com.

All requests are filled in order in which they are received.

Thank you
Lurie College of Education Technology Support Staff

First Name: *
Your answer
Last Name: *
Your answer
SJSU ID: *
Your answer
Phone: *
(xxx)-xxx-xxxx
Your answer
E-mail Address: *
We use this email address to send the confirmation and pickup information. Please make sure that it is accurate.
Your answer
CalTPA/PACT Equipment Request - You may check out one item each for a maximum of one week.
Request Date (mm/dd/yy) * *
Please provide when you need to pick up the equipment.
Your answer
Item # 1 *
Item # 2
Item # 3
Submit
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