21-22 Online Learning - Device Request Form
Please complete the following form to request a device for your child. Medway IT will prepare a device and email you a pickup window. At your scheduled pickup time, please stay in your car, pop the trunk, and we will bring the device out based on your plate number.

Complete One Request Form Per Child.

Please complete the 1:1 Consent form detailing the expectations and responsibilities.
https://docs.google.com/forms/d/e/1FAIpQLSfD_4PQWGMPgAT3YKCPPNjlxALcEZZNn58CCql6wmMzELMgcQ/viewform

We strongly Encourage All families to purchase Insurance
https://gpo.worthavegroup.com/gpo/medway

Device Pickup Location -
Middle School IT Office
Door 8
45 Holliston Street


For Additional Technical Support please visit our webpage or email us at support@medwayschools.org.
https://docs.google.com/document/d/1Jct8Js9xg1QgbVbRUC47_oaO4RpJ37OVZ2mIOVTL6lk/edit?usp=sharing
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Student First Name *
Student Last Name *
Parent Full Name *
Parent Email Address *
License Plate Number *
This is a replacement / swap request. *
Indicate if you are requesting a swap of an older device or a device in need of repair. The 1:1 consent form is not required.
If yes, what is the service tag of the current device?
blue sticker on the bottom of the unit.
Which school does your student attend? *
Please list your student's grade *
Which Cohort will your child be following?
Clear selection
Do you have adequate internet access at home? *
Comcast has made their Internet Essentials product affordable and in some cases free.  More information can be found here - https://www.internetessentials.com/
Would you like to Opt-Out of the 1:1 initiative and supply your own device?
Only choose this option if you DO NOT want a device for your child.
Clear selection
Pickup of chromebook devices will require the parent and student to sign off on the MPS 1:1 Chromebook Initiative Consent Form, found here.  Please complete this form before arrival.
https://docs.google.com/forms/d/e/1FAIpQLSfD_4PQWGMPgAT3YKCPPNjlxALcEZZNn58CCql6wmMzELMgcQ/formResponse
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