LAGUARDIA COMMUNITY COLLEGE / CUNY

STUDENT TECHNOLOGY MENTOR REQUEST FORM

   
*Required
*Required
Department:
Room Number:
Phone Number:
Semester:
*Required
   
Starting Date:
Ending Date:

Please indicate the Day(s) and Time the services of the STM will be needed and include room number.
 
Date
Time
Room Number
Choice
Monday
From to
Tuesday
From to
Wednesday
From to
Thursday
From to
Friday
From to
Saturday
From to
 
Please specify if it is a faculty project or class period(s):

Please describe the project and the technology resources that will be used ( software, hardware ). Describe the tasks that the STM will be required to complete.

Project or Course Name/Title:

Project or Course Description and STM Tasks:
Please specify what the STM will be doing.

List Technology Resources to be used:
You can select more than one technology by holding the "Ctrl" key down while selecting.
 

Additional Information: