Form

This information is vital. You may submit more than one form if you float into a room that is not used by anyone else.
What is your name?*
Room #*
During the televised Presidential Inauguration, did you have to relocate, because there was no drop in your room?*

Yes No
What color is your LCD projector that is hanging in your room or on a cart?*

black silver white
Do you have a black Sony DVD player?*

yes no
Do you have a school or district laptop here or at home?*

yes no
If you answered yes above, list the red tag or serial #.
How else may we help you?
Should be Empty:

This information is vital. You may submit more than one form if you float into a room that is not used by anyone else.