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Remote Learning Device Request

Learn which students need electronic devices. Perfect for schools and classrooms that have moved online due to COVID-19. Easy to customize and share.

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Please fill out the following information to request a device for remote learning.

Email*

Student First Name*

Student Last Name*

Student ID Number*

Grade Level*

School Name*

Description:Easily track students' electronic device requests with this Remote Learning Device Request form. Ideal for schools and classrooms that have shifted to online learning due to the COVID-19 pandemic. This form is customizable and shareable, making it easy to use for both teachers and students.

The Remote Learning Device Request form is an essential tool for schools and classrooms that have moved to online learning due to the COVID-19 pandemic. With this form, teachers can easily track which students need electronic devices to participate in online classes. The form is customizable, allowing teachers to tailor it to their specific needs. The form is also shareable, making it easy for teachers to distribute it to their students. By using this form, teachers can ensure that all students have the necessary tools to succeed in their online classes.

First Name*

Last Name*

Phone Number*

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First Name*

Last Name*

Phone Number*

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First Name*

Last Name*

Date of Birth*

Select date

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Are all floors swept and mopped?*

Are all carpets vacuumed?*

Are all surfaces dusted and wiped down?*

Preview

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What is your child's name?*

Describe your child's personality.*

What is your child's birthdate?*

Select date

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What is your date of birth?*

Select date

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Activity Title*

Activity Description*

Start Date*

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