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PGCPS Device Request
You should complete this form for scholars who are currently using a personal computer to do their school work.
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* Indicates required question
DO NOT COMPLETE THIS FORM IF YOU HAVE ALREADY RECEIVED AN iPAD or CHROMEBOOK from PGCPS.
My child/children currently DO NOT have a PGCPS issued device and are using a PERSONAL device.
*
Yes
No
I would like to request a PGCPS device be issued to my chid/children.
*
Yes
No
If you selected NO to the previous question. Why do you not want a PGCPS issued device.
Your answer
How many PGCPS devices will you need
*
Choose
0
1
2
3
4
5
First & Last Name of Each Scholar (Grade Level)
*
Your answer
Please enter a phone number we can use to schedule your pick-up.
*
Your answer
Please enter an email address we can use to communicate with you.
*
Your answer
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