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.
Bryant Park Elementary
Center Point Elementary
Center Point High
Crumly Chapel Elementary
Hueytown Primary (North Highland)
Kermit Johnson Elementary
McCalla Elementary (Greenwood)
Mortimer Jordan High
Mt. Olive Elementary
North Jefferson Middle
Oak Grove Elementary
Oak Grove High
Pinson Valley High
Pleasant Grove Elementary
Pleasant Grove High
Shades Valley High
Snow Rogers Elementary
West Jefferson Elementary
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.
There is NO available Internet service provider at my home.
I do not have reliable Internet access at my home.
Reliable Internet is available at my home but I need assistance with resources for payment.
I do not need help with Internet connectivity.
Please choose the best option that describes the help needed related to student devices.
I would like to request a device for my student for remote learning.
I do not need a device for my student.
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?
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This form was created inside of Jefferson County Schools.