Technology Request Form
This form is for students who did not complete the Remote Learning Survey from MCS.  If you did not complete that survey, please complete this form to request a technology device.   Riverside Middle School will do our best to meet your technology needs.  You will be contacted if and when a device is available to schedule a time for pick up.
* Indicates required question
Student Name *
Your answer
Student Grade *
Parent(s) / Caregiver Name *
Your answer
Parent(s) / Care Giver Phone Number(s) *
Your answer
Siblings that attend RMS *
If sibling does attend RMS please input the child's name and grade.
Your answer
Computer Needed *
Internet access within your home *
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