Parent Tech Request Form

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For families that do not have home internet service, parents can use this form to request a hotspot.

Please be aware that students who have been assigned any district provided device are expected to adhere to District Policy 363.2 Acceptable, Safe and Responsible Use of Technology, and 363.2-Rule 1 Student Acceptable Use of Technology. Please read through the Student/Parent Technology Handbook for additional information and guidance. These documents can be found on the District website - www.littlechute.k12.wi.us.

Email *

Parent Last Name *

Parent First Name *

Street Address and City *

Parent Phone *

Parent Email *

Student Name - Grade *

Please list the name and grade for all children in the household that will be using this Hotspot. For example: Jane Doe - 7, Sammy Doe - 8

Which School(s) do they attend? *

Little Chute Elementary School

Little Chute Intermediate/Middle School

Little Chute High School

Little Chute Career Pathways Academy

Flex Academy

Virtual School

Required

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