Device Replacement for Shelter-in-Place
Hello Independence families.  Due to the Governor's most recent announcement, we are taking a few extra steps to help fight the spread of COVID-19.  All of our school facilities will be closed until further notice.  In the event that a school device breaks, we want to be able to replace that device with a loaner.  

Thursdays we will visit homes to replace broken devices.  Please place your broken device in your mailbox.  We will leave a loaner device in your mailbox.  If you do not have a mailbox large enough to fit a device, please refer to the last question in the survey.  Please answer the questions below to help us with this process.  
Sign in to Google to save your progress. Learn more
Home Address *
We just need the house number and street.
Student First Name *
Student last name *
Student Grade
Is the device an iPad or a Chromebook? *
If you do not have a mailbox large enough to hold the device, where would be a convenient location to swap devices while maintaining the proper social distancing ?
Email address to confirm delivery *
We will email and request a response when we have delivered the loaner device.
Any other comments?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Independence Local Schools. Report Abuse