Remote WIFI Device Form

Remote WIFI Device Form

These devices will be issued on a first come first served basis.

Name First Last
Phone - Area Code - Prefix Line Number
IU Email Must be IU Email Address, no personal email addresses.
Confirm Email Address *

Must be IU Email Address, no personal email addresses.

Must be IU Email Address, no personal email addresses.

Anticipated graduation term: *
Anticipated graduation year: *
Current Zip code: *
Do you have an updated device that supports wifi? *
Rationale for the remote WiFi: