Student Device Request Form
Dear Students,

Please take a moment to complete this form if you are in need of a Chromebook, iPad, calculator or headphones.
We will respond via email with your appointment date & time.
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Email *
Student Name (First & Last Name) *
Student's Grade *
Student ID / OSIS # (leave blank if not known)
Tech Needs *
Guardian cell phone number *
Student Cell Phone # *
A copy of your responses will be emailed to the address you provided.
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