College of the Siskiyous

Laptop Loan Application

If you are in need to a loaner laptop to complete your online courses, please fill out the form below. You will be contacted by HQ staff to set up an appointment to pick up the laptop as soon as possible. If you have any questions, please contact Basecamp HQ at (530) 938-5376 or by email at:

All fields marked with an asterisk (*) are required.

Personal Information

Explanation of Need

Please explain in 5 sentences or more why you are in need of a laptop? Also how will not having a laptop impact your ability to be successful in your online courses? *

By selecting the check box below you acknowledge that you are assuming full responsibility for replacing the laptop should it be damaged while in your use. You will also be required to complete a laptop loaner student contract when picking up the laptop.