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UMED Student Device Request 2021
During the school closure, some students may experience technology issues. Please complete this online form so that we can prepare an appointment time to provide you with the technology that you need.
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* Indicates required question
Email
*
Your email
Name of Requestor
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Your answer
Student Last Name
*
Your answer
Student First Name
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Your answer
Student ID # or Date of Birth
*
Your answer
Best form of contact
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Choose
Phone
Email
Contact Information (phone number)
Your answer
Contact Information (email)
Your answer
Are you experiencing a problem with your current Chromebook or Hot Spot?
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Yes
No
I am a new student and need a Chromebook and Hot Spot
What problem are you having with your Chromebook or Hot Spot?
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Your answer
What is the Asset Tag # of the device you want to exchange? Chromebooks usually start with "LAUSD and a number." Hot Spots are under the IMEI #.
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Your answer
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