Technology Access Form
Technology Access Form, please complete this form to gain technology access within the district. THIS FORM MUST BE COMPLETED BEFORE EMAIL ACCESS, COMPUTER ACCESS, OR ACCOUNT ACCESS CAN BE ISSUED. Access to any of Hollandale School District software or equipment is a privilege and should be treated as such. Upon leaving the district all rights and privileges are revoked immediately.
Email address *
Today's Date: *
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First Name: *
Your answer
Last Name: *
Your answer
Middle Initial:
Your answer
Phone: *
Your answer
Date of Birth *
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Last Four Digits of Social Security No: *
Your answer
Select the school in which you are employed: *
Required
Check all the software access that you are requesting: *
Required
A copy of your responses will be emailed to the address you provided.
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