Request for Student Devices

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To request a student device for the 2020-21 school year, please complete this form. Please know that at the beginning of the year, Northwest High School has a limited quantity of devices. We expect more devices from the district in the coming weeks; however, we do not know exactly when they will arrive. Mrs. Pinyan, our Media Specialist, will notify you about your pick-up time for your device.

Student Name: *

Contact email for student/guardian: *

Reason for request: *

Student has no access to device at home

Student has access to device but is sharing with siblings

Other:

Required

If you listed Other has your reason for requesting device, please describe:

Do you have Internet access at your home? *

Yes

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