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.
Parent Name (First & Last) *
Student Name (First & Last) *
Student Grade *
Do you need a Chromebook? *
Do you need a Hot Spot? *
Parent Email Address *
Parent Phone Number *
Submit
Never submit passwords through Google Forms.
This form was created inside of Winston-Salem/Forsyth County Schools. Report Abuse