Official Office Device Checkout
Parents and guardians, complete this form if you need to check out a student device in order for the student to finish classwork.
Parents and guardians MUST check-in with the office and the student's advisory teacher first to gain permission.
The device MUST be returned to school when the student returns.
What's the student's first and last name?
What's the student's grade level?
What date will the student be taking the device from school?
Select the advisory teacher
Jeske, Mary Jane
Which class(es) is the student needing to complete work for?
Social Studies/Geography/History/ND Studies
Science/STEM/Innovations/Environmental Issues/Exploring Solutions
Student use. Please read and check the box below.
I agree to bring my device and power cord back to class when I return to school. Furthermore, I agree to follow all PEAK and student use guidelines in the student use agreement.
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Dickinson Public Schools.