#Unidos4Education Device Family Sign Up
Your family will be reviewed with ASD and you will be contacted if you qualify to receive a FREE Hotspot Device. YOUR CHILD MUST ATTEND ONE OF THE ASD PUBLIC OR CHARTER SCHOOLS
(Su informacion sera verificada con el distrito escolar de Allentown y sera contactado si cualifica para recibir un Punto de Acceso de WIFI GRATIS) SI HIJO/HIJA TIENE QUE ASISTIR A UNA DE LAS ESCUELAS PUBLICAS O CHARTER DE ASD
Email address *
Name of Parent (Nombre del padre/madre) *
What technology support device do you need? (Cual equipo de apoyo tecnologico necesita) *
Required
Please list all ASD students that live in your household, MUST provide full names and grades (Por favor enumere todos los estudiantes del distrito escolar de Allentown que viven es su casa, DEBE de incluir el nombre completo y el grado) *
What School Does Your Child or children attend? (A cual escuela va su hijo o hijos?) *
What is your home address? (Cual es su direccion?) *
What is your phone number? (Cual es su numero de telefono?) *
Are there any other specific needs your family has at this time aside from a computer? (Hay alguna otra necesidad especifica que su familia tenga en este momento?) *
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