Technology Interest or Need Form
Disclaimer
:
This form does not guarantee a technology device. Please complete the form to help the Hayward Unified School District assess the needs of students during distance learning
Technology received
Have you received Hot Spot, Chromebook or LG Tablet from Hayward Unified School District?
Yes
No
Which of the following have you received (
Hold Ctrl on PC and Command on Mac to choose multiple)
?
Please select...
Chromebook
Hot Spot (Wi-Fi)
LG Tablet
This form does not guarantee
a technology device
Technology Needed
Please choose the technology still needed:
Chromebook
Hot Spot (Wi-Fi)
Other Needs
Please select...
Mouse
Keyboard
Headphones
Technology Replacement
Other
How Many Chromebooks?
Other Needs Not Listed
Parent Information
First Name
Last Name
Phone
Email
English
Spanish
Other
Preferred Language
Other Preferred Language
How many children are you completing this form for?
Please select...
1 Child
2 Children
3 Children
4 Children
Student Information
Student Name
Student ID
School Name
Please select...
Anthony W Ochoa Middle School
Bowman Elementary School
Brenkwitz High
Bret Harte Middle School
Burbank Elementary School
Cesar E Chavez Middle School
Cherryland Elementary School
East Avenue Elementary School
Eden Gardens Elementary School
Eldridge Elementary School
Fairview Elementary School
Faith Ringgold School
Glassbrook Elementary School
Harder Elementary School
Hayward High School
Helen Turner State Preschool
Highland Middle School
Longwood Elementary School
Lorin Eden Elementary School
Martin Luther King Middle School
Mt Eden High School
Palma Ceia Elementary School
Park Elementary School
Ruus Elementary School
Schafer Park Elementary School
Southgate Elementary School
Stonebrae Elementary School
Strobridge Elementary School
Tennyson High School
Treeview Elementary School
Tyrrell Elementary School
Winton Middle School
Student Information
Student Name
Student ID
School Name
Please select...
Anthony W Ochoa Middle School
Bowman Elementary School
Brenkwitz High
Bret Harte Middle School
Burbank Elementary School
Cesar E Chavez Middle School
Cherryland Elementary School
East Avenue Elementary School
Eden Gardens Elementary School
Eldridge Elementary School
Fairview Elementary School
Faith Ringgold School
Glassbrook Elementary School
Harder Elementary School
Hayward High School
Helen Turner State Preschool
Highland Middle School
Longwood Elementary School
Lorin Eden Elementary School
Martin Luther King Middle School
Mt Eden High School
Palma Ceia Elementary School
Park Elementary School
Ruus Elementary School
Schafer Park Elementary School
Southgate Elementary School
Stonebrae Elementary School
Strobridge Elementary School
Tennyson High School
Treeview Elementary School
Tyrrell Elementary School
Winton Middle School
Student Name
Student ID
School Name
Please select...
Anthony W Ochoa Middle School
Bowman Elementary School
Brenkwitz High
Bret Harte Middle School
Burbank Elementary School
Cesar E Chavez Middle School
Cherryland Elementary School
East Avenue Elementary School
Eden Gardens Elementary School
Eldridge Elementary School
Fairview Elementary School
Faith Ringgold School
Glassbrook Elementary School
Harder Elementary School
Hayward High School
Helen Turner State Preschool
Highland Middle School
Longwood Elementary School
Lorin Eden Elementary School
Martin Luther King Middle School
Mt Eden High School
Palma Ceia Elementary School
Park Elementary School
Ruus Elementary School
Schafer Park Elementary School
Southgate Elementary School
Stonebrae Elementary School
Strobridge Elementary School
Tennyson High School
Treeview Elementary School
Tyrrell Elementary School
Winton Middle School
Student Information
Student Name
Student ID
School Name
Please select...
Anthony W Ochoa Middle School
Bowman Elementary School
Brenkwitz High
Bret Harte Middle School
Burbank Elementary School
Cesar E Chavez Middle School
Cherryland Elementary School
East Avenue Elementary School
Eden Gardens Elementary School
Eldridge Elementary School
Fairview Elementary School
Faith Ringgold School
Glassbrook Elementary School
Harder Elementary School
Hayward High School
Helen Turner State Preschool
Highland Middle School
Longwood Elementary School
Lorin Eden Elementary School
Martin Luther King Middle School
Mt Eden High School
Palma Ceia Elementary School
Park Elementary School
Ruus Elementary School
Schafer Park Elementary School
Southgate Elementary School
Stonebrae Elementary School
Strobridge Elementary School
Tennyson High School
Treeview Elementary School
Tyrrell Elementary School
Winton Middle School
Student Name
Student ID
School Name
Please select...
Anthony W Ochoa Middle School
Bowman Elementary School
Brenkwitz High
Bret Harte Middle School
Burbank Elementary School
Cesar E Chavez Middle School
Cherryland Elementary School
East Avenue Elementary School
Eden Gardens Elementary School
Eldridge Elementary School
Fairview Elementary School
Faith Ringgold School
Glassbrook Elementary School
Harder Elementary School
Hayward High School
Helen Turner State Preschool
Highland Middle School
Longwood Elementary School
Lorin Eden Elementary School
Martin Luther King Middle School
Mt Eden High School
Palma Ceia Elementary School
Park Elementary School
Ruus Elementary School
Schafer Park Elementary School
Southgate Elementary School
Stonebrae Elementary School
Strobridge Elementary School
Tennyson High School
Treeview Elementary School
Tyrrell Elementary School
Winton Middle School
Student Name
Student ID
School Name
Please select...
Anthony W Ochoa Middle School
Bowman Elementary School
Brenkwitz High
Bret Harte Middle School
Burbank Elementary School
Cesar E Chavez Middle School
Cherryland Elementary School
East Avenue Elementary School
Eden Gardens Elementary School
Eldridge Elementary School
Fairview Elementary School
Faith Ringgold School
Glassbrook Elementary School
Harder Elementary School
Hayward High School
Helen Turner State Preschool
Highland Middle School
Longwood Elementary School
Lorin Eden Elementary School
Martin Luther King Middle School
Mt Eden High School
Palma Ceia Elementary School
Park Elementary School
Ruus Elementary School
Schafer Park Elementary School
Southgate Elementary School
Stonebrae Elementary School
Strobridge Elementary School
Tennyson High School
Treeview Elementary School
Tyrrell Elementary School
Winton Middle School
Student Information
Student Name
Student ID
School Name
Please select...
Anthony W Ochoa Middle School
Bowman Elementary School
Brenkwitz High
Bret Harte Middle School
Burbank Elementary School
Cesar E Chavez Middle School
Cherryland Elementary School
East Avenue Elementary School
Eden Gardens Elementary School
Eldridge Elementary School
Fairview Elementary School
Faith Ringgold School
Glassbrook Elementary School
Harder Elementary School
Hayward High School
Helen Turner State Preschool
Highland Middle School
Longwood Elementary School
Lorin Eden Elementary School
Martin Luther King Middle School
Mt Eden High School
Palma Ceia Elementary School
Park Elementary School
Ruus Elementary School
Schafer Park Elementary School
Southgate Elementary School
Stonebrae Elementary School
Strobridge Elementary School
Tennyson High School
Treeview Elementary School
Tyrrell Elementary School
Winton Middle School
Student Name
Student ID
School Name
Please select...
Anthony W Ochoa Middle School
Bowman Elementary School
Brenkwitz High
Bret Harte Middle School
Burbank Elementary School
Cesar E Chavez Middle School
Cherryland Elementary School
East Avenue Elementary School
Eden Gardens Elementary School
Eldridge Elementary School
Fairview Elementary School
Faith Ringgold School
Glassbrook Elementary School
Harder Elementary School
Hayward High School
Helen Turner State Preschool
Highland Middle School
Longwood Elementary School
Lorin Eden Elementary School
Martin Luther King Middle School
Mt Eden High School
Palma Ceia Elementary School
Park Elementary School
Ruus Elementary School
Schafer Park Elementary School
Southgate Elementary School
Stonebrae Elementary School
Strobridge Elementary School
Tennyson High School
Treeview Elementary School
Tyrrell Elementary School
Winton Middle School
Student Name
Student ID
School Name
Please select...
Anthony W Ochoa Middle School
Bowman Elementary School
Brenkwitz High
Bret Harte Middle School
Burbank Elementary School
Cesar E Chavez Middle School
Cherryland Elementary School
East Avenue Elementary School
Eden Gardens Elementary School
Eldridge Elementary School
Fairview Elementary School
Faith Ringgold School
Glassbrook Elementary School
Harder Elementary School
Hayward High School
Helen Turner State Preschool
Highland Middle School
Longwood Elementary School
Lorin Eden Elementary School
Martin Luther King Middle School
Mt Eden High School
Palma Ceia Elementary School
Park Elementary School
Ruus Elementary School
Schafer Park Elementary School
Southgate Elementary School
Stonebrae Elementary School
Strobridge Elementary School
Tennyson High School
Treeview Elementary School
Tyrrell Elementary School
Winton Middle School
Student Name
Student ID
School Name
Please select...
Anthony W Ochoa Middle School
Bowman Elementary School
Brenkwitz High
Bret Harte Middle School
Burbank Elementary School
Cesar E Chavez Middle School
Cherryland Elementary School
East Avenue Elementary School
Eden Gardens Elementary School
Eldridge Elementary School
Fairview Elementary School
Faith Ringgold School
Glassbrook Elementary School
Harder Elementary School
Hayward High School
Helen Turner State Preschool
Highland Middle School
Longwood Elementary School
Lorin Eden Elementary School
Martin Luther King Middle School
Mt Eden High School
Palma Ceia Elementary School
Park Elementary School
Ruus Elementary School
Schafer Park Elementary School
Southgate Elementary School
Stonebrae Elementary School
Strobridge Elementary School
Tennyson High School
Treeview Elementary School
Tyrrell Elementary School
Winton Middle School
Contact Information