Remote Learning Device Questionnaire
In the event of an emergency, such as a weather-related event, including a snowstorm, we may need to quickly pivot to remote learning. 

While devices are limited, please let us know if you are in need of a device for the day in the event of a remote instruction day due to a snowstorm. 
  • These devices are on a loan basis and will be returned to the school by May 5th, 2023.
  • Devices are expected to be returned in good, working condition with all accessories.
  • We can only offer one device per family. Please only fill the device out once per family.
These devices are not for personal use, they are to be used for schoolwork only. Everything you do on these computers is tracked and monitored by the Department of Education. 
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Email: *
Student's First Name:  *
Student's Last Name:  *
Select your child(ren)'s grade level:  *
Required
Parent's First Name: *
Parent's Last Name: *
Parent's Primary Email:  *
Parent's Primary Contact Number: *
Please list any other PS/IS 180 students in your household: 
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