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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
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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Total Number of Student Devices in the District:
Internet Service Provider:
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Type of Connection:
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Total Network Bandwidth:
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Describe the technology limitations, please include Pearson Helpdesk ticket numbers when appropriate:
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