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DOE Device Request
Please complete this form if your child needs a DOE device. Please complete one form per child. Thank you.
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* Required
Child's First Name
*
Your answer
Child's Last Name
*
Your answer
Child's Class
*
PreK-221
PreK-223
PreK-224
K-101
K-102
K-105
K-108
1-119
1-120
1-205
1-207
K.1.2-118A
2-201
2-208
2-210
3-217
3-218
3-219
3-321
3.4.5-216
4-314
4-316
4-318
4-323
5-303
5-305
5-308
5-310
Device Type (Please select one)
*
Ipad
Chromebook
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