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2019-2020 Tech Integration Request
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* Indicates required question
Email
*
Your email
When filling out the form please refer to the below for the available technology integration blocks
Name
*
Your answer
Project Date
*
MM
/
DD
/
YYYY
Project Start Time
*
Time
:
AM
PM
Project End Time
*
Time
:
AM
PM
Project Theme/Subject
*
Your answer
Provide details of your request
*
Your answer
Technology Needed
*
Chromebooks
iPads (I will submit request form)
Lab (I will submit request form)
Interactive TV
Maker Space
Green Screen
None
Required
If requesting Chromebooks/iPads, how many?
Your answer
Type of Project
*
Whole Class
Small Group
Center
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