Union School District Device Request
This form is to request a device from the district for continuation of learning away from school. This form does not create an agreement to obtain a loaned device; it only generates the primary request. A site tech will contact you for pick up times.
Please do not show up to the school site without having received a pick-up time and date from your site tech. We are trying to safely distribute the devices without putting people at increased risk. Thank you for your patience.
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Parent/Guardian Full Name
First and Last Name
Parent/Guardian Email Address:
Parent/Guardian Daytime Phone Number:
Please include area code.
Legal First and Last Name
Current (2021-2022) Grade level of student:
Alta Vista Elementary
Union Middle School
Teacher's Last Name
If you know your student's teacher's last name , this will help us find the classroom device. If the student is new to the district, then please state "New Student." If you don't recall the teacher's name, that's OK too -- just leave it blank.
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This form was created inside of Union School District.