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Laptop Request Form
As we prepare for remote learning, please complete the information below to request a laptop for your student.
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* Indicates required question
Child's First Name
*
Your answer
Child's Last Name
*
Your answer
What school does your child attend?
*
Choose
Aycock Elementary
Carver Elementary
Clark Elementary
Dabney Elementary
EO Young Elementary
EM Rollins Elementary
Pinkston Street Elementary
New Hope Elementary
LB Yancey Elementary
Zeb Vance Elementary
Vance County Middle School
Vance County High School
AdVance Academy
Vance Virtual Village Academy
Grade Level
*
12
11
10
9
8
7
6
5
4
3
2
1
K
PreK
Parent's First Name
*
Your answer
Parent's Last Name
*
Your answer
Parent's Phone Number
Your answer
Parent's Email Address
Your answer
Do you have internet access at home?
Yes
No
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