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Chromebook Requests for VIP Student
At this time, only SMS registered VIP students will qualify to receive a device. Please be patient as we are working towards assigning all students a device.
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* Indicates required question
Student Name
*
Your answer
Parent Name
*
Your answer
Parent Email
*
Your answer
Parent Phone Number
*
Your answer
What grade is your student in?
6th Grade
7th Grade
8th Grade
Is your student registered at Sterlington Middle?
*
No
Yes
Is your student registered for the Virtual Instruction Program (VIP)?
*
No
Yes
Do you have active internet service at your residence?
Yes
No
Clear selection
Will you be requesting that an Internet Hotspot be included with your device?
Yes
No
Clear selection
How soon are you requesting a device? (Please allow a minimum of a 24 hour notice).
*
MM
/
DD
/
YYYY
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