TECHNOLOGY REQUEST (virtual learning)
Please complete this form to indicate support needed from the DATE technology department.
Email *
Student's Last Name *
Student's First Name *
Parent's Last Name *
Parent's First Name *
Parent's Email Address *
Parent's Cell Phone Number *
I need to get assistance with technology: *
Have you paid the $25 insurance deposit for devices? *
I have a request that is not listed: *
Submit
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