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Student/s Potentially Needing Hotspot
This list is being used to collect hotspot requests for student use.
Please submit only one form per household as one hotspot can accommodate multiple Chromebooks.
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* Indicates required question
Parent/Guardian LAST Name
*
Your answer
Parent/Guardian FIRST Name
*
Your answer
Parent/Guardian Email Address (Used as primary contact, please make sure the address is entered correctly)
*
Your answer
Name of Person Requesting Hotspot (If different than Parent/Guardian)
Your answer
Contact Phone Number of Person Requesting Hotspot
*
Your answer
Address of Hotspot Need (Used to determine service area of internet provider)
*
Your answer
Please List all Student/s in household (LAST, FIRST) Separated With a ;
*
Your answer
Current School of All Students in household
*
1. CRES
2. GPES
3. LWES
4. SLES
5. RCES
6. TES
7. MVMS
8. STMS
9. THS
Required
Need due to:
*
No internet
Unreliable internet
Thank you! Once you have completed the form, please email Kyle Hood to confirm. (
khood@tahomasd.us
)
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This form was created inside of Tahoma School District No. 409.
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