Chromebook and/or Hotspot Request

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If you are interested in a wireless home connection and/or a Chromebook for your student to access distance learning, please complete this form. We will confirm the devices available for pickup next week during grade-level pickup days.

Name of Student *

Student ID (if known)

Grade Level *

Cell Phone Number (the number you enter must receive texts) *

Email address

Choose the devices your student needs to access distance learning. *

Chromebook Computer

Wireless Home Connection HotSpot

I do not need any technology from the school site to access distance learning

Required

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