Computer Request Survey
Please complete this short survey to help Nevada Virtual Academy better understand your needs. You may be asked to complete additional paperwork to verify eligibility for a computer.
Student's Name *
Your answer
Student Id Number *
Your answer
Grade Level *
Parent/Guardian Name *
Your answer
Current Address *
Your answer
Current Phone Number *
Your answer
Parent Email Address *
If Approved, Computer and Device Policy will be sent to this email address. The Acceptable Use Policy on the last page will need to be returned before any devices are shipped.
Your answer
Reason for Computer Request *
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