Mendenhall Middle School Technology Request 2020-2021
Please complete the following form if your Mendenhall student will need a device for remote learning for the 2020-21 school year.

There will only be 1 device distributed per family.
If you currently have a GCS issued device then you are not eligible.

Please direct any questions to Mr. Blackston at

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Student First Name *
Student Last Name *
Student Grade Level for 2020-21 School Year *
Do you currently have access to the Internet or Wifi? *
Parent Name *
Phone Number (Please enter area code) *
Current Address *
E-Mail Address
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