Home Application for Student Laptop Loan Name* First Last MGCCC ID (M) Number* Phone*Email* Enter Email Confirm Email Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Campus Attending*Advanced Manufacturing & Technology CenterBryant Center at TraditionGeorge County CenterHarrison County CampusJackson County CampusKeesler CenterMaritime Training AcademyPerkinston CampusNaval Construction Battalion CenterWest Harrison County CenterAre you staying in a residence hall?* Yes No Residence Hall*Andrews HallBryan HallCanizaro HallGeorge HallHayden HallMoran HallOwen HallNEW Residence HallRoom Number* Do you currently have access to a computer that enables you to complete your coursework and participate in online courses?* Yes No Do you have access to reliable wi-fi internet?* Yes No What courses will this laptop be used for?* Click (+) to add courses.How long will you need this laptop?* Please explain.
