Jefferson High Chromebook/HotSpot Request Form
Senate Bill 98 requires that all students have access to internet connectivity and device. Please indicate below if your student will need a Chromebook or a hot spot to connect to the internet. Please note that the Chromebook will be assigned to your student the same way school textbooks are assigned. You could pay up to $250, if the Chromebook is lost, stolen, or damaged.
The individual completing this form
Parent/Guardian First Name
Parent/Guardian Last Name
Student First Name
Student Last Name
Student Date of Birth
Student School Identification Number (if known)
In the Fall 2020, my student will be in grade:
Does the student have reliable internet connection?
If no, we will be loaning out a hot spot to connect to the internet.
Does the student have a device to use at home for Distance Learning?
If no, we will be issuing a Chromebook.
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Jefferson Union High School District.