Please specify your affiliation to the student(s) below for record purposes.
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Student Name(s) *
Please list the student(s) in need of a hotspot. This form should be used only for a single student or family unit that are enrolled within the district. Please list all students of which you are the parent or legal guardian.
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Need for Hotspot *
Check all that apply. If none apply, fill in reasoning and it will be reviewed on a case by case basis.
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