Laptop Program Opt-Out Form

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PCCC Laptop Program Opt-Out Form for College Success Students

Deadline to submit:
Spring 15 – 01/30
Spring 6A – 02/03
Spring 12 – 02/16
Spring 6B – 03/31

Only complete if you are taking College Success (COL-103) during Spring 2023 AND you wish to opt-out of the College’s Laptop Program.

**If you completed COL-103 in Spring/Summer/Fall 2021 or Spring/Summer 2022, and did not pick up your laptop, please contact bursar@pccc.edu .

"*" indicates required fields

STUDENT INFORMATION

First Name*

M.I.*

Last Name*

Student ID#*

Seven digit student ID number (ex. 0123456)

Phone #*

Email*

PLEASE CHECK

NO – I do not want a laptop. I am asking the College to waive the COL-103 course fee because I already have access to a laptop with the minimum specifications!

Minimum Specifications are:
a. Webcam
b. Microphone
c. Windows 10 (preferred) or MacOS 10.10 or higher
d. At least 128 GB of available storage
e. 8 GB of RAM
f. Intel i3, AMD Ryzen 3, or better
g. Wi-Fi adapter (802.11n or better)

LAPTOP PROGRAM OPT-OUT FORM

PCCC Laptop Program Opt-Out Form for College Success Students

STUDENT INFORMATION

PLEASE CHECK