LARC Class iPad Request

Name First Last

Email

Semester Requested

Spring 2013 Summer 2013 Fall 2013

Class Title

Anticipated number of students *

What interests you about the iPad in class? (Please check all that apply.) *

Portable web-browsing and email access Multimedia use (video/audio viewing/listening) Multimedia creation (video/audio recording/editing) Games/Entertainment Organization/Time Management eBooks and Reading Videocoferencing (Facetime/Skype) Concept Mapping Note-taking Other

Please briefly describe how these iPads will be used in your class, particularly class activities that you have planned and any special apps that you will be using. *

I understand that students will be held responsible for any damage, including loss and theft. The complete replacement of an iPad is $525. Students will be asked to sign a contract to this effect. *

I agree. I do not agree.

I understand that it is my responsibility to inform the LARC coordinator as soon as possible regarding any student who drops the class or stops attending class so that the student iPad can be recovered prior to the end of the semester. *

I agree. I do not agree.

Wufoo

LARC Class iPad Request

Thank you very much for your iPad request. Trish Nolde will contact you within two working days to discuss your request.