Computer Access Program Application

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Computer Access Program Application

* Indicates required question

Email *

Your email

Student Name *

Your answer

Phone number *

Your answer

School *

Your answer

Student IYT mentor *

Your answer

Is your school providing Chromebooks for online learning? *

Yes

No

If no, please explain *

Your answer

Have you contacted your school to receive a Chromebook? *

Yes

No

Please explain in detail your situation/need *

Your answer

Additional notes/comments *

Your answer

Send me a copy of my responses.

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