Technology Lending Agreement

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Email *

Student's Last Name *

Student's First Name *

Student's Grade *

9th Grade

10th Grade

11th Grade

12th Grade

My daughter will need *

A computer

A personal hotspot

Both a computer and a personal hotspot

I understand that my daughter has been given a device(s) for use during the period of remote instruction and agree to the following terms:

Please check each box to acknowledge and agree to the terms of this agreement. *

Only the SVA student will use the device(s).

The device(s) will only be used for SVA instruction and schooling.

The device(s) will be returned when we open for in-person instruction.

Should the device be damaged in any way or not returned, I will be responsible for the cost of repair or replacement.

Required

First and last name of parent *

Typing your name will be your signature

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

This form was created inside of Saint Vincent Academy.

Does this form look suspicious? Report