Pacific University COVID-19 Student Computer Needs Survey
Please tell us your name: *
Please tell us a phone number we can reach you at: *
Are you currently able to receive and respond to emails sent to your Pacific account? *
Which best describes the nature of your need: *
Which best describes your ability to come to the Forest Grove Helpdesk to get a computer: *
Our standard student loaner computer is an Apple laptop with webcam, built-in microphone, web browsers, and the Apple iWork suite. If any of your classes require anything more than this (in terms of software or peripherals) please describe the nature of this need here:
Do you need information about free or reduced-cost options for internet access at home?
Clear selection
If your situation requires a computer be brought to you or shipped to you, or would like advice about internet access at home, please enter your full postal address here:
Is there anything else we should know about your technology needs?
Do you acknowledge that any computer that may be loaned to you is property of Pacific University, and must be returned to the Technology Helpdesk at the conclusion of online-only-teaching, and that failure to do so will result in the value of the computer being charged to your student account? *
Never submit passwords through Google Forms.
This form was created inside of Pacific University Oregon. Report Abuse