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ECS Home Use Device Request
This is for EES/EMS students. EHS/GLA already have a personal device. This form is to request a Chromebook for your student(s) to use at home if you do not have a desktop/laptop they can use for remote school days.
You are required to follow the same rules as stated in the
Technology Checkout Policy and Agreement
.
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* Indicates required question
Student Name(s)/
Nombre(s) del Estudiante
*
Your answer
Student ID Numbers (If known)/
Números de Identificación del Estudiante (si lo sabe)
Your answer
Parent Name/
Nombre del Padre de Familia
*
Your answer
Do you have an internet connection at home?/
¿Tiene conexión de internet en casa?
*
Yes/Si
No
I agree to the
Technology Checkout Policy and Agreement
./
Estoy de acuerdo con la
Póliza y Acuerdo de Préstamo de Tecnología
Yes/Si
No
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