Pine Grove Area High School Internet Connectivity Excuse Form

Pine Grove Area Middle School Internet Connectivity Excuse Form

If you are unable to attend virtual synchronous instruction due to connectivity issues, please use this form to let us know. Please attach a screenshot showing that you did not have internet. If there are any questions, email Mr. Lyons at slyons@pgasd.com.
Student Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Date of Connectivity Issue*

MonthDayYear
Date
Grade*
Internet Connectivity Description*
Please attach a screenshot of internet connectivity issue. *

Cancelof
Should be Empty:

Pine Grove Area Middle School Internet Connectivity Excuse Form