Device Request Form

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Device Request Form

Hamilton-Wenham Regional School District students need a supported dedicated device to meet the remote aspects of the District's hybrid and fully remote models of teaching and learning. To meet these needs the District will be lending devices to students until full in-person teaching and learning can resume. If your family has a student that does not have a designated Internet-ready device please fill out the form below.

Student First Name *

Student Last Name *

Student Last Name

Parent / Guardian's First Name

First Name

Parent / Guardian's Last Name *

Last Name

Parent / Guardian's Email Address *

email address

Which School Does Your Student Attend

Our Student needs the following to take advantage of remote learning *

Remote leaning Device (computer/tablet)

Internet Access (our residence does not currently have internet access)

Required

Disclaimer *

I understand that any and all devices lent to my student will be returned with all of their component parts and in the same condition as we received it.

Required

Pickup

Once a loaner device has been identified the IT staff will be reaching out via email to arrange equipment pickup.

Submit

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