Student Device Request form
If your child does not have access to a device for school work, please complete this form and we will provide your child with a device.
Home address where devices can be delivered
Phone number where you can reached
Do you have Internet Access at home or do you need us to provide you with access to Internet?
Yes, I need an Internet connection
No, I have internet access
Never submit passwords through Google Forms.
This form was created inside of SRVUSD.net.