Public Computer Use Log Form
Please complete this form to log your session on a public computer. This helps us maintain records and ensure fair use.
Full Name
*
First Name
Last Name
User Type
*
Please Select
Student
Staff
Visitor
Other
Computer Number or ID
*
Session Start Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Session End Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Purpose of Computer Use
*
Please Select
Internet Browsing
Research
Homework/Assignments
Job Search/Applications
Email
Other
Did you experience any issues with the computer?
No issues
Yes (please describe below)
If yes, please describe the issue
Submit Log
Should be Empty: