FDLRS Open Lab Registration Form
Thank you for your interest in the FDLRS Open Lab. FDLRS provides assistance and support in the appropriate use of a variety of technologies for students, teachers, professional staff, and parents. Support services are available in the areas of assistive technology, instructional technology, Universal Design for Learning (UDL), AIM/NIMAS Florida services, and virtual/online instruction. Upon completing the registration form, a confirmation email with date/time will be sent to you.
Email Address *
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Parent Name *
Your answer
Student Name *
Your answer
Student ID Number
Your answer
Grade *
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School *
Your answer
Services: Please indicate which of the following applies to your student *
Required
Preferred Date (Please note that some days may be filled and you will be contacted for an alternate date) *
Required
What is your preference for time? (You will be contacted with a confirmation time.) *
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What tasks would you like to learn to address? *
Required
What devices do you have at home that your student will be using? *
Required
Which tools does your student currently use? *
Required
Comments: Please list any specific concerns that you would like to address during the open lab.
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