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Emily Carr P.S. Request for Technology
Please complete one form for each student you are requesting technology for.
If you have any questions please email :
fisherda@hdsb.ca
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* Indicates required question
Email
*
Your email
Student's First Name - Please include registered name with school
*
Your answer
Student's Last Name - Please include registered name with school
*
Your answer
Student's Grade
*
JK
SK
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Teacher's Name
*
Your answer
Parent/Guardian first and last name(s)
*
Your answer
Parent/Guardian primary contact phone number
*
Your answer
Device requested
*
i-Pad
Chromebook
Any other information pertaining to this request
Your answer
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