Device Distribution Survey
Please complete this survey if your student needs a device for the 2020-21 school year. If you have multiple students in your family who need a device, you must complete a survey for each student.
* Required
Parent Name (First & Last)
*
Your answer
Student Name (First & Last)
*
Your answer
Student Grade
*
K
1st
2nd
3rd
4th
5th
Do you need a Chromebook?
*
Yes
No
Do you need a Hot Spot?
*
Yes
No
Parent Email Address
*
Your answer
Parent Phone Number
*
Your answer
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This form was created inside of Winston-Salem/Forsyth County Schools.
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