Kent ISD AT Trial Extension Request

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete this form if you would like to request an extension on a current trial.

Borrower's name *

(Last Name, First Name)

Borrower's email address *

School district/program & building (location) where equipment is currently being trialed: *

Equipment/device being trialed *

Extension requested until: *

YYYY

Reason for extension request: *

Student(s) requires more time to learn the device/app

I need more time to learn the device/app

Team need more time to fully implement the device/app

Team needs more time to collect data on effectiveness

As interim solution until receipt of permanent equpiment that has been ordered/funded is received

Other:

Do members of the team need additional technical training on the equipment? *

Yes

Clear form

Never submit passwords through Google Forms.

This form was created inside of Kent Intermediate School District.

Does this form look suspicious? Report