Semester 2 Device Request Form
Please complete this form if you would like to request a school device for Semester 2. Please complete 1 form per child.
* Required
Student Name
*
Please include legal first and last name.
Your answer
Teacher Name
*
Choose
Fuentes
Suzuki
Chinen
Neuber
Tominaga
Chida
Yoneda
Seed
Tolentino
Nguyen
Nomura
Kawainui
Au
Leong
Hall
Perreira
Ahue
Kekuawela
Freitas/Au
Kegley
Inouye-Ng
Yee
Duquette
Nakashima
Haioka
Wong
Grade
*
Choose
K
1
2
3
4
5
6
Parent/Guardian Name
*
Your answer
Email
*
Your answer
Primary Phone
*
Ex. (xxx) xxx-xxxx
Your answer
Secondary Phone
*
Ex. (xxx) xxx-xxxx
Your answer
Submit
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