QECHS Technology Needs
(PLEASE COMPLETE ONE FORM STUDENT)
Email *
2.  Name (Last Name, First Name)
1.  Student ID Number
2.  Grade Level (9-12)
Do you need a Chromebook (This is the technology provided to all QECHS students that need technology)?
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3.  Do you have wifi/internet access at home?
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4.  Please provide parent/guardian contact information (Name and best phone number).
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