COVID-19 Resource Form
Please complete the following to request assistance and resources from the Leetonia Exempted Village School District.
Student First Name *
Your answer
Student Last Name *
Your answer
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Delivery Street Address *
Your answer
City *
Your answer
Phone number *
Your answer
Email address *
Your answer
I would like Breakfast/Lunch
I would like Homework Packets
I need Technology resources or help. (ie: Chromebook Repair)
Your answer
I need other help or resources.
Your answer
How would you like to receive the items? *
If you prefer drop off location? Which one?
Submit
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