JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Park View Chromebook/Internet Hotspot Request
Please complete the following form to request a Chromebook and/or Internet Hotspot for your Park View student for the 20/21 school year.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Have you already completed a survey requesting a Chromebook and/or Hotspot for the 20-21 school year?
Yes
No
Maybe
Clear selection
Student Last Name
*
Your answer
Student First Name
*
Your answer
Student Grade Level
6th
7th
8th
Clear selection
I would like to request an internet hotspot to participate in distance learning.
Yes
No
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Yucaipa-Calimesa Joint Unified School District.
Report Abuse
Forms
