Dept. of Social Work- Laptop Request Form

(For best results, please fill out this form using the Google Chrome Browser.)

For Department of Social Work students only.

Upon completion and verification of this form, a laptop will be checked out to you. If you are on the Alva campus you will receive an email when you are able to pick up in JD 308. If you are on the Woodward or Enid campuses, your laptop will be delivered via campus mail. You will receive an email when it is sent and once it arrives.

Student Name

Student ID #

Today's Date

Cell Phone Number

Email Address

Additional Equipment

Please select any additional items you would like to checkout.


I certify that this laptop will be used solely for academically-related work. I understand that I am personally responsible for returing this laptop in the condition it is right now. Further, I am finacially responsible ($200) if, for any reason, I am unable to return the laptop in working condition or it is damaged.

Northwestern Oklahoma State University

709 Oklahoma Blvd., Alva, OK 73717
Phone: (580) 327-1700

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Mission Statement

Northwestern Oklahoma State University provides quality educational and cultural opportunities to learners with diverse needs by cultivating ethical leadership and service, critical thinking and fiscal responsibility.

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