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Student Technology Support and Request Form completed by Parent/Guardian
All requests will be handled based on priority needs
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Parent/Guardian First and Last Name
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Your answer
Parent/Guardian Phone Number
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Your answer
Parent/Guardian Email Address
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Your answer
Student First Name (Please use legal name)
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Your answer
Student Last Name (Please use legal name)
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Your answer
Grade, Homeroom and Teacher
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PreSchool - A1, Mrs. Umeda
Kindergarten - A2, Ms. Affonso
Kindergarten - A3, Mrs. Ikeda
Kindergarten - A4, Mrs. Gray
Kindergarten - A5, Mrs. Chun
Grade 1 - B2, Ms. Oh
Grade 1 - B4, Ms. Vierra, Ms. Agustin
Grade 1 - B5, Mrs. Matsuda
Grade 1 - B6, Mrs. Inamasu
Grade 2 - C1, Ms. Miyasato
Grade 2 - C2, Mrs. Nakautoga, Ms. Shishido
Grade 2 - C3, Ms. LeClaire
Grade 2 - C4, Mrs. Markpol
Grade 3 - B21, Ms. Yamada
Grade 3 - B22, Ms. Pires
Grade 3 - B23, Ms. Lemus
Grade 3-6 - C5b, Mrs. T. Park
Grade 4 - B24, Mrs. Vierra
Grade 4 - B25, Mr. M. Park
Grade 4 - B26, Mrs. Matsukawa
Grade 5 - C24, Ms. Kuroiwa
Grade 5 - C25, Mrs. Almeida
Grade 5 - C26, Ms. Horiuchi, Ms. Unger
Grade 6 - C21, Ms. Kao, Mrs. Inter
Grade 6 - C22, Ms. Janicki
Grade 6 - C23, Ms. Doi
Describe the technology support that is needed. Please add specific details: 1) What device (school/personal) is student using, 2) Program being used, 3) Problem?
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