JEFCOED Device & Internet Help Form
Parents of JEFCOED students may complete this form to request a device or receive assistance with Internet connectivity for the 2020-2021 school year.
A form should be submitted for each student.
List the first name of the student. *
Please list legal first name.
List the last name of the student. *
Please list legal last name.
Choose your child's school. *
Grade Level *
Name of parent or guardian completing this form. *
Email address of the parent or guardian completing this form.
(preferred, not required)
Please choose the best option that describes the help needed related to Internet connectivty. *
Please choose the best option that describes the help needed related to student devices. *
Have you completed a free and reduced lunch application for the 2020-2021 school year? *
Have you completed the registration process for the 2020-2021 school year? *
Submit
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