Farmington River Elementary School Technology Request Form
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1.
Please Provide Parent/Guardian First Name
(Required.)
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2.
Please Provide Parent/Guardian Last Name
(Required.)
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3.
Please Provide Parent/Guardian Email Address
(Required.)
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4.
Please Select the Grade Level of Your Student or Students
(Required.)
PreK
K
1
2
3
4
5
6
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5.
Please Provide Only the First Name of your Child or Children
(Required.)
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6.
Do you need a district provided Chromebook (Laptop)?
(Required.)
yes, we will need a device
no, we have a computer at home that can be used
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7.
Do you have internet access in your home?
(Required.)
yes, we have an internet connection at home
no, we would like to hear about options for internet
Current Progress,
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