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Remote learning device request form
Please complete this form if you need a device for remote learning. This doesn't guarantee a device. We will contact you when one becomes available.
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* Indicates required question
Email
*
Your email
Have you applied for a DOE remote learning device already?
*
Yes
No
What is the name of the Eagle Harlem scholar that needs a device?
*
Your answer
Do you currently have internet/wifi at home?
*
Yes
No
What device are you currently using on remote learning days?
*
Your answer
Do you or your parent have a personal/non-eagle Gmail account?
*
Yes
No
Maybe
If you answered "Yes" to the previous question, what is your/your parent's non eagle Gmail account?
Your answer
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