Case for Support
Please complete this form if you are in need of a Chromebook for your student or child to be able to fully participate in remote learning. We will supply students while equipment last with a free Chromebook. We reserve the right to serve only those that are truly in need. Complete the following questionnaire and someone will get back to you within 48 hours.
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Email *
First Name *
Last Name *
Mobile Phone *
Address/Street *
Organization Role *
Grade *
City *
State *
Zip Code *
Case for support *
State your case for support or need in 250 words or less.
School Instagram
School Twitter
School Website
Principal or Leadership Name *
Please provide name of organization leadership. If parent type name.
Organization or School Name *
Organization or School Name Phone *
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