Cochran Virtual Device Accessibility

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Please complete the following form detailing your Cochran scholar's device accessibility at home. The form must be filled out for each child in the home who attends Cochran Academy. Thank you.

Homeroom Teacher? *

Ms. Donat

Mrs. McCaskill

Mrs. Nabutete

Mrs. Cook

Ms. Malloy

Mrs. Morano

Mrs. Reid

Mrs. Williams

Ms. Kane

Mrs. Smith-Jarvis

Mr. Wingard

Ms. Polite

Grade? *

Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

Student Name (First & Last) *

Student Device Owner? *

Personal dedicated device (Student is the sole user)

Perosnal device (Student shares with other users in the home)

School Provided Device (Student is the sole user)

School Provided Device (Student shares device with other East Orange sudents in the home)

None (Student has no device)

If you responded "None" to the previous question, please provide more detail.

Device Type *

Chromebook/Laptop

iPad/ Tablet

Other (i.e. Cell Phone, desktop, etc.)

Unknown

None

If you responded "Other" for the previous question, please specify here.

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