2020-2021 Student Technology Request
This form can be used to request technology devices for a specific student and/or Internet Access for the household. Please complete this form for each student who needs a device and one student per household for Internet Access.

By accepting devices from Grand Ledge Public Schools you agree to the following:
https://www.glcomets.net/downloads/technology_services/2020-2021_device_agreement__handbook.pdf
PLEASE DO NOT SUBMIT THE SAME STUDENT MORE THAN ONCE
If an adjustment is needed please respond to the confirmation email.
UPDATE: ALL KINDERGARTNERS AND DELTA CENTER 1ST AND 2ND GRADERS DO NOT REQUEST DEVICES VIA THIS FORM - THEIR SCHOOL WILL BE REACHING OUT REGARDING THE PICKUP TIME ONCE SCHEDULING IS COMPLETE AND IPADS ARE PREPARED.
First Name *
Student Legal First Name as it appears in PowerSchool
Last Name *
Student Legal Last Name as it appears in PowerSchool
School *
Which school will this student attend for the 2020-2021 school year.
Contact *
Legal Parent/Guardian Contact Name. This contact is authorized to agree to the terms of any agreements on behalf of this student or household. This contact will also coordinate with receipt and return of equipment and agrees to such communications.
EMail *
Parent/Guardian EMail Address - PLEASE double check your entry as it will be the primary method of communicating regarding this project.
Phone *
Parent/Guardian Phone ###-###-####
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