Distance Learning Student Computer Request

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If you are the parent/guardian of a student who need a computer for distance learning, please fill out the following information. Please contact the Attendance and Engagement Office at (916) 643-2121 for assistance. 

Contact Information
Student Information

Please fill out the following information for each student who needs a computer. 

Student 1
Student 2
Student 3
Student 4
Student 8
Student 7
Student 6
Student 5