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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:

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Contact Phone:

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Contact Email:

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District Name:

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District Name:

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School Name:

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School Name:

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Step 2: Provide Technology Information

Total Number of Student Devices in the District:

Desktops:

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Laptops:

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Chromebooks:

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Tablets:

{{Response.Tablets}}

Internet Service Provider:

{{Response.ISP}}

Type of Connection:

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Other/Additional Details:

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Total Network Bandwidth:

{{Response.Bandwidth}}

Step 3: Provide Additional Information and Submit

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

{{Response.Justification}}

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Contact Information