CAASE Technology Request Form

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CAASE Technology Request

During the 2022-2023 academic year, CAASE will attempt to supply students with technology equipment to allow students to successfully complete their semester. Please fill out the following information fields to request equipment in the mail.

All equipment must be returned at the end of semester.

Limited while supplies last.

If you have any questions or concerns please contact Veronica Duenas at duenasv@sonoma.edu. Also, once you complete your request, please notify Veronica via email that way she can process your request.

Email *

Please select the semester you are requesting it for? *

First Name *

Last Name *

Sonoma State ID# *

Select which program you are a part of: *

Select all that apply.

EOP Program

Graton Rancheria

PUERTA Program

Disability Services for Students

DREAM Center

Seawolf Scholars

TRiO United for Success

TRiO Multilingual Achievers Program

None of the above, I am an SSU Staff Member

Required

Phone Number *

Preferred email address (optional):

What resources do you anticipate needing this semester to be successful during the semester? Please note: Laptops are only available for pick up and cannot be shipped to your mailing address. *

WiFi Hotspots

Noise Cancellation Headphones

Laptop *Only available for pick up*

Calculator

Other:

Required

How would you like to obtain your item(s)? *

In-person pick at the CAASE office (Schulz 1119)

Mailed to my preferred address

Do you currently live on campus? If so, please list the building that you live in. *

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