Remote learning device request form
Please complete this form if you need a device for remote learning. This doesn't guarantee a device. We will contact you when one becomes available.
Email address *
Have you applied for a DOE remote learning device already? *
What is the name of the Eagle Harlem scholar that needs a device? *
Do you currently have internet/wifi at home? *
What device are you currently using on remote learning days? *
Do you or your parent have a personal/non-eagle Gmail account? *
If you answered "Yes" to the previous question, what is your/your parent's non eagle Gmail account?
Submit
Never submit passwords through Google Forms.
This form was created inside of Eagle Academy for Young Men of Harlem. Report Abuse