Staff Exit Form
Complete this form to setup a time to check-out of the technology department before leaving for the summer.
First Name *
Your answer
Last Name *
Your answer
Building *
Last date you will be in the district *
MM
/
DD
/
YYYY
Current Email Address *
This is your school email address
Your answer
New Contact information *
Email address or phone number. This is only used if we need additional information. It won't be shared.
Your answer
Date you will turn in your technology to the technology department *
MM
/
DD
/
YYYY
Time of day you will turn in your technology to the technology department *
Your answer
PIN or Password
If you have a PIN or Password on your technology device, enter it below.
Your answer
Questions or Comments
If you have questions or comments, enter them in the space below.
Your answer
Summer School - Other
If you are working summer school or working past July 1st, you will be issued a temp laptop to use for those sessions. Please, indicate if you are working summer school/other this year.
Your answer
Submit
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