Request for Technology Extension (2021)
If an OSA faculty or Administrator has said you are needing additional access to your OSA Chromebook and/or hotspot please complete this form otherwise return your Chromebook/Powercord and/or Internet hotspot/Charging cable.
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Guardian Name *
Guardian Email *
Guardian Phone *
Student Name *
Student Email
Faculty or Administrator Requesting Additional Access
Brief description of why you need the technology after May 28. *
When do you expect to be done using the technology?
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Chromebook Number (Usually on top left or sticker underneath starting with G######)
Internet hotspot number (Usually on the box provided)
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