PARENT/GUARDIAN TECHNOLOGY REQUEST & ACCEPTANCE FORM
You will use this form to request technology. If you have more than one White Oak student who needs a device, you will indicate each student below. You will also need to read the Device and Hotspot Acceptance Documents below and sign at the bottom to agree to the terms.
Email *
Parent Phone Number *
Student #1 Name *
Student #1 Homeroom Teacher Name *
Student #2 Name
Student #2 Homeroom Teacher Name
Student #3 Name
Student #3 Homeroom Teacher Name
My student(s) needs a White Oak device for digital learning. *
My student needs a Hotspot for internet access for digital learning. *
Chromebook Acceptance Page 1
Chromebook Acceptance Page 2
Hotspot Acceptance Form Page 1
Hotspot Acceptance Form Page 2
Parent Signature *
Date *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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