You must have JavaScript enabled to use this form. 1 Start 2 Page 2 3 Page 3 4 Page 4 5 Preview 6 Complete 1.Name * 2.CSU Student? * Yes No CSU ID 3.Phone Number * must include dashes (###-###-####) 4.Email Address * 5. Cell Phone Provider * AT&T Verizon Sprint T-Mobile Cricket Wireless Metro PCS Other... 5. Cell Phone Provider Other... 6.Preferred Method of Contact * E-mail Text Call 7. Devices Available for Use * Tablet Phone PC Laptop Printer Other... 7. Devices Available for Use Other... 8. Programs/Applications Used/Approved * Microsoft Office (Word, Excel, PowerPoint) Google Classroom YouTube Other Software 8. Programs/Applications Used/Approved Other Software Leave this field blank
