Dakota State University -- Request to Opt Out of WMCI Program
Complete this form to request permission to opt-out of the DSU WMCI (tablet program). If granted, an opt-out is in
effect until you notify the Help Desk (help@dsu.edu) you wish to opt-in again.
Please Type or Print Legibly
Student Name: Student ID Number:
Current Academic Programs:
Current Degree: BSE BS BBA AS
Current Major(s):
Current Minor(s), Specializations (s), Option(s):
Reason to Opt-Out
I am requesting permission to opt-out of the WMCI program for the following reasons:
I do not have any general education courses to complete. I have a personal notebook/tablet that is pen-
enabled and will suffice for the requirement of the WMCI.
___ Other
Specifications of the personal notebook/tablet I’m claiming will suffice for the WMCI program:
Model: Processor: Memory: HDU:
“Pen enabled” support for this device is provided by:
I understand if my opt-out request is approved, I am not eligible for repair/warranty services at the Help Desk.
However, I understand that general technology assistance is still be available to me at the Help Desk and that,
each semester, I will be charged a Technology Access fee to connect to the DSU wireless network.
Student Signature Date
Advisor/Dean Approval
The student’s academic advisor and Dean of the College each certify that participation in the WMCI program is not necessary for the
student’s current major(s), minor(s), specialization(s), or option(s).
Advisor Signature Date
Dean Signature Date
CIO Approval
No Opt-Out request is approved until this form is signed by the CIO and filed with Computing Services.
CIO Computing Services Date