RECORD -Instructional Resource Request (Solicitud de Recursos Familiares)

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The purpose of this form is to request optional instructional materials. This work is not mandatory and it will not be turned in for credit. Please be advised that internet access is not included.

El propósito de esta solicitud es para solicitar material opcional de instrucción. Este material no recibirá grado/crédito académico ni debe de ser regresado a la escuela. Servicio de Internet no viene incluido.

Grade (grado) *

Student's Full Name (nombre completo del estudiante) *

Parent/Guardian name (nombre del padre/tutor legal) *

Resource Request (recurso solicitado) *

Chromebook (does not have Wifi access)

Printed material (consumable)

Required

Phone Number (numero de teléfono) *

Email Address (correo electrónico) *

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