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USD 382 Securly Home App Request
This form is for students in grades 6-12 only. These are the only grades that take devices home.
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* Indicates required question
Parent First Name
*
Your answer
Parent Last Name
*
Your answer
Parent Email Address
*
Your answer
Student First Name
*
Your answer
Student Last Name
*
Your answer
Student School Email Address
first.last@usd382.com
*
Your answer
Do you have another student to add?
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