Rocklin Unified Parent Inquiry for Take Home Devices
Please complete this document as soon as possible so we can best prepare materials to support your child during the school closure period.
Sign in to Google to save your progress. Learn more
Email *
Student Name(s) *
Parent Name(s) *
Parent Email for Contact *
Mobile Number to Send/Receive Text Messages
Please make sure Area code is included
Number of Students at RUSD? *
School Site(s) *
Please  check all school sites your child/children attend
Required
What types of technology do you have available to your child(ren) at home? *
Required
Please describe if you checked other for technology devices.
Do you have an interest in resources regarding obtaining internet accessibility? *
Would you be interested in checking out a school district device to use? *
Does your family have access to wifi at home? *
Are you able to go to a school site to pick up a device if available? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Rocklin Unified School District. Report Abuse