Farmington River Elementary School Technology Request Form

Question Title

* 1. Please Provide Parent/Guardian First Name

Question Title

* 2. Please Provide Parent/Guardian Last Name

Question Title

* 3. Please Provide Parent/Guardian Email Address

Question Title

* 4. Please Select the Grade Level of Your Student or Students

PreK

K

1

2

3

4

5

6

Question Title

* 5. Please Provide Only the First Name of your Child or Children

Question Title

* 6. Do you need a district provided Chromebook (Laptop)?

yes, we will need a device

no, we have a computer at home that can be used

Question Title

* 7. Do you have internet access in your home?

yes, we have an internet connection at home

no, we would like to hear about options for internet