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Thank you for submitting your information!

Next Steps

Agency Staff will:

  • Review waiver form submissions
  • Seek clarifying information if needed
  • Determine if a site visit is needed
  • Make a final determination and contact school staff

Step 1: Provide General Information

Contact Name:  
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Contact Role:  
Contact Phone:  
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Contact Email:  
District Name:  
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District Name:  
School Name:  
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School Name:  

Step 2: Provide Technology Information

Total Number of Student Devices in the District:
Internet Service Provider:
Type of Connection:
Other/Additional Details:
Total Network Bandwidth:

Step 3: Provide Additional Information and Submit

Describe the technology limitations, please include DRC Helpdesk ticket numbers when appropriate:
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Contact Information