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Virtual Reality Kit
Loaner Program
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email
*
Your answer
School Name
*
Your answer
County
*
Choose
Antrim
Armagh
Carlow
Cavan
Clare
Cork
Derry
Donegal
Down
Dublin
Fermanagh
Galway
Kerry
Kildare
Kilkenny
Laois
Leitrim
Limerick
Longford
Louth
Mayo
Meath
Monaghan
Offaly
Roscommon
Sligo
Tipperary
Tyrone
Waterford
Westmeath
Wexford
Wicklow
Other
What level is your school?
*
Primary
Post Primary
Other:
How many devices are you interested in loaning?
*
A "device" consists of one headset and one phone.
10
20
30
Other:
How long would you like to loan the kit for?
*
1-2 days
3-5 days
5-7 Days
7+ days
Other:
Does your school have wi-fi access?
*
Yes
No
I don't know
Do you have any questions or comments?
Your answer
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