Form

Student Device Request 2022
Date*

YearMonthDay
Date
Select Your Name.*
Select Your School.*
Select the Student's Grade Level.*
Replacement Device for Damage, Lost or Stolen (Only submit request for students that have paid the $75 replacement fee)IT Warranty ReplacementNew to the District (Student has never been issued a 1:1 device by MSCS)Transfer StudentIncoming 9th GraderECF Device Request
Enter Student's First and Last Name. *

First NameLast Name
Enter the Student's PowerSchool ID Number. *
Should be Empty:

Student Device Request 2022