iPad Application Form for Faculty

First Name: *

Last Name: *

Campus Email: *

Phone: *

Department:

Enter your Department if not listed in the dropdown:

Course(s): *

Type of Request: *

New Request

Renewal

Semester:

Fall

Spring

Summer

Year: *

Share your vision for how iPads will be used in this course to enhance student engagement and learning: *

Enter the word in the image *
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