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At-home WiFi requests
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* Indicates required question
Student's First Name
*
Your answer
Student's Last Name
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Building
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Amityville Memorial High School
Edmund W Miles Middle School
Park Avenue Memorial Elementary School
Northwest Elementary School
Northeast Elementary School
Grade
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PreK
K
1
2
3
4
5
6
7
8
9
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11
12
Student ID Number (if known)
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Parent/Guardian Name
*
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Parent/Guardian contact number
*
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Serial Number of the Student's Chromebook (found on the back of the Chromebook. See image:
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Additional Comments
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