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STUDENT DEVICE LOAN AGREEMENT
Please fill out this form and a school device will be provided to the student as soon as possible (usually through their advisor). If you have any questions, reach out to jyang21@schools.nyc.gov.
Note:
Eligible students are encouraged to apply for T-Mobile's
Project 10 Million
, offering free hotspots with
200GB of data/year
for up to
five years
. See
NYCDOE instructions
to apply.
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* Indicates required question
Email
*
Your email
Student Information
Student Email (nycstudents.net)
*
Your answer
Student Name
*
Your answer
Student ID Number (9 digits)
*
Your answer
Student Grade
*
9th
10th
11th
12th
School Advisor
*
Benowitz
Breman
Cao
Downes-Angus
Forman
Garcia
Glick
Gomez
Keijzer
Kilic Gonul
Lewis
Merwyn
Mistretta
Moise
Oldenburg
Perez-Katz
Ross
Sanchez
Vargas
Whitfield
Other:
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