Request edit access
Services Support Request - Edina Public Schools
Edina Public Schools is able to provide support services to students and families that require that support during this unprecedented time. Requesting district technologies means that you agree to adhere to Policy 634 and follow information outlined in the Technology Loan Agreement Form.

Policy 634:

Technology Agreement:

We will be sending the delivery/Pickup information with a follow-up telephone call.
Email address *
Please check a box next to services that would help support your student during this time. *
Student First Name *
Your answer
Student Last Name *
Your answer
Student ID# (6 Digits, starts with an 8) *
Your answer
School *
Student Grade
Parent or Guardian Name *
Your answer
Parent or Guardian Email Address *
Your answer
Parent or Guardian Address (for Delivery) *
Your answer
Home Phone Number (for Delivery) *
Your answer
Preferred Language, if other than English
Never submit passwords through Google Forms.
This form was created inside of Edina Apps. Report Abuse