NJMS Device Request Form

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In order to request a school Chromebook or WIFI hotspot, this form should be completed by a parent or guardian. If you have more than one child attending North Johnston Middle School, please complete this form for each child who needs a device. Please complete form on or by Tuesday, August 11th.

Device distribution dates will be announced via Connect Ed, social media, and our website by Friday, August 7, 2020.

电子邮件地址 *

Parent/Guardian First and Last Name *

Parent/Guardian Phone Number *

Student's First Name *

Student's Last Name *

Student's Grade Level *

Does your student need a Chromebook? *

Yes

Does your student need a hotspot for internet access? (Note: Details regarding hotspot distribution will be shared using the telephone provided above. Hotspots are based on district availability. Only one hotspot would be provided per physical address.) * *

Yes

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