Emery Unified Student iPad/laptop and Hotspot Lending Application
IF YOU ALREADY have an iPad/laptop and need tech support please go to this form:

We are experiencing high demand and are currently distributing devices. Please allow 2 weeks for the I.T. Department to contact you to set up appointments for pick up. Please arrive only at your scheduled pickup time.

Once you submit a request and we have verified need, Emery Unified School District staff will contact you with information about device pickup. If you have already submitted a request, please do not submit another one as duplicate requests delay our processing time.

DUE TO LIMITED QUANTITY, we ask that families ONLY REQUEST a device if your child is in NEED of a device to continue with the INSTRUCTION. We want to make sure that STUDENTS WITHOUT any access to a device are given PRIORITY.

Note: Hotspots are not yet available. We are exploring our ability and capacity to provide these. Please also review the internet service options listed at https://www.cde.ca.gov/ls/he/hn/availableinternetplans.asp which special deals for this time of "sheltering in place".

SPANISH version: https://forms.gle/ccUFiFEUVhh6DQve8
Email address *
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Parent email address *
Your answer
Student First Name *
Your answer
Student Last Name *
Your answer
Student School Email address *
Your answer
PARENT Phone number *
Your answer
School Site
Student Grade Level *
Does your child need a student laptop or Chromebook? *
Does your child need a set of headphones? *
Do you have WiFi internet access at home? *
Please visit https://www.cde.ca.gov/ls/he/hn/availableinternetplans.asp to find out about internet access solutions available at this time.
Does your child need an internet hotspot? *
Supplies are very limited, so please only request a hotspot if your family does not have any internet access in the home and you have evaluated internet service options identified in the previous question.
Additional Comments
Your answer
A copy of your responses will be emailed to the address you provided.
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