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.
DUE TO HIGH DEMAND, there may be a delay in processing your request. 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.
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
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.
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This form was created inside of Union School District.