Device Pick-up Appointment Form
Please fill this form if you are a parent/guardian of a student who needs a device for distance learning at home or a staff member who needs a device for remote work.
Please Choose
I am a parent/guardian - Student needs a device
I am a staff member - I need a device
Staff Member Name
First Name
Last Name
Staff Email
example@example.com
Department
Parent/Guardian Name
First Name
Last Name
Student Name
First Name
Last Name
Student ID Number
Parent/Guardian/Student Email
example@example.com
Phone Number
-
Area Code
Phone Number
Name of person picking up the device
First Name
Last Name
Appointment
Submit
3839 Wood Duck Drive, Sault Ste Marie, MI 49783 - 493-123-2314
Should be Empty: