Adopt-a-School Program Application

School Information

School Name

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Telephone*

Website*

Your Name*

First Last

Tech Director Name*

Email Address*

Phone*

Are you a Disadvantaged School?*

Are you a 501 (c)(3)?*

Are you a Charter School?*

Number Of Students*

Are you Tax Exempt?*

Grades Served*

% of Free/Reduced lunch*

Do you use Chromebook Devices?*

Models and Quantities

Do you use Chromebook Carts?*

Do you use Apple Devices?*

Models and Quantities

Do you use Laptop Devices?*

Models and Quantities

What is your vision for Technology in your School?*

How are Chromebooks being used at your school?*

What are the current Technology needs of your school?*

Explain in detail why your school should be considered for the Adopt-a-School program.*

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