Miami Central SHS Device Needs Survey
Please complete the form so that we may assist with your student's technology needs (One submission per student). Please note: You will receive a follow up phone call to confirm your date and time for pick up or exchange. Thank you in advance for your patience. We look forward to serving you soon.--Gregory Bethune, Principal.
Student's Last Name
Student's First Name
Student's ID Number
Technology Need (Check all that apply)
Check Out Mobile Device
Repair/Exchange Mobile Device
Parent/Guardian's Name (Full Name)
Parent/Guardian's Phone Number
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