Device Request

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Device Request

Please use this form to request access to an iPad (Grades K-2) or Chromebook (Grades 3-5) in the event of a prolonged school closure due to Coronavirus Disease 2019 (COVID-19). If you have more than one child needing a device, please fill out one form per child. Please read Mentor's Parent/Guardian Agreement for iPad / Chromebook Use: shorturl.at/diqCZ

You can pick up your child’s iPad\Chromebook from their school during the following times:

Wednesday March 18th from 7:30 AM to 9:00 AM or 2:00 PM to 4:00 PM
Monday March 23rd from 7:30 AM to 9:00 AM

Parent email address

Student's First Name *

Student's Last Name *

School Building *

Grade Level *

Teacher's Last Name *

I have read and agree to Mentor's Parent/Guardian Agreement for iPad / Chromebook Use: shorturl.at/diqCZ *

Yes, I have read and understand Mentor's Parent/Guardian Agreement for iPad / Chromebook Use

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