Teacher Request a Monitor (Supports Home Addresses JotForm Acct #2)

K-12 public school teachers in the U.S. can request a free monitor. It may take about a month to match you with a donor.
Your email address at school*

Confirmation Emailname@example.edu
Full name*

First NameLast Name

Phone Number*
We need your phone number because Amazon asks for this when the donor ships the monitor to you.

School name*
I'd like my monitor shipped to my:*

Home addressSchool address
Your mailing address (either your home or school address)*

Street Address

Street Address Line 2

CityState

Zip Code

Are the majority of your students on free or reduced price lunches (FRPL)?*

YesNoNot sure
I certify that I am a full-time public school K-12 classroom teacher in the U.S.*
Sign by typing your name

What kind of video cable do you need for your monitor?
Pick your cable. Try Googling "types of monitor ports" if you're not sure.*

HDMI (most common for PCs)USB-C (most common for Macs)Mini DisplayPort (most common for older Macs)
Should be Empty: