Please enable JavaScript in your browser to complete this form.School / District Name *Date *How many different device types are you picking up? *1234567891011121314151617181920Example: MacBook Laptops and iPads = 2 Chromebook Laptops, MacBook Laptops, and iPads = 3 LayoutDevice Description (1) *Laptop MacBook - AppleiPad - AppleLaptop - ChromebookLaptop - WindowsOtherNumber of Laptops - Apple MacBook *MacBook Chargers? *YesNoNumber of iPads - Apple *iPad Chargers? *YesNoNumber of Laptops - Chromebook *Chromebook Chargers? *YesNoNumber of Laptops - Windows *Windows Laptop Chargers? *YesNoDescribe Other *Number of Devices - Other *Are there chargers? *YesNo2nd Device InfoLayout 2nd DeviceDevice Description (2) *Laptop MacBook - AppleiPad - AppleLaptop - ChromebookLaptop - WindowsOtherNumber of Laptops - Apple MacBook *MacBook Chargers? *YesNoNumber of iPads - Apple *iPad Chargers? *YesNoNumber of Laptops - Chromebook *Chromebook Chargers? *YesNoNumber of Laptops - Windows *Windows Laptop Chargers? *YesNoDescribe Other *Number of Devices - Other *Are there chargers? *YesNo3rd Device InfoLayout 3rd DeviceDevice Description (3) *Laptop MacBook - AppleiPad - AppleLaptop - ChromebookLaptop - WindowsOtherNumber of Laptops - Apple MacBook *MacBook Chargers? *YesNoNumber of iPads - Apple *iPad Chargers? *YesNoNumber of Laptops - Chromebook *Chromebook Chargers? *YesNoNumber of Laptops - Windows *Windows Laptop Chargers? *YesNoDescribe Other *Number of Devices - Other *Are there chargers? *YesNo4th Device InfoLayout 4th DeviceDevice Description (4) *Laptop MacBook - AppleiPad - AppleLaptop - ChromebookLaptop - WindowsOtherNumber of Laptops - Apple MacBook *MacBook Chargers? *YesNoNumber of iPads - Apple *iPad Chargers? *YesNoNumber of Laptops - Chromebook *Chromebook Chargers? *YesNoNumber of Laptops - Windows *Windows Laptop Chargers? *YesNoDescribe Other *Number of Devices - Other *Are there chargers? *YesNo5th Device InfoLayout 5th DeviceDevice Description (5) *Laptop MacBook - AppleiPad - AppleLaptop - ChromebookLaptop - WindowsOtherNumber of Laptops - Apple MacBook *MacBook Chargers? *YesNoNumber of iPads - Apple *iPad Chargers? *YesNoNumber of Laptops - Chromebook *Chromebook Chargers? *YesNoNumber of Laptops - Windows *Windows Laptop Chargers? *YesNoDescribe Other *Number of Devices - Other *Are there chargers? *YesNo6th Device InfoLayout 6th DeviceDevice Description (6) *Laptop MacBook - AppleiPad - AppleLaptop - ChromebookLaptop - WindowsOtherNumber of Laptops - Apple MacBook *MacBook Chargers? *YesNoNumber of iPads - Apple *iPad Chargers? *YesNoNumber of Laptops - Chromebook *Chromebook Chargers? *YesNoNumber of Laptops - Windows *Windows Laptop Chargers? *YesNoDescribe Other *Number of Devices - Other *Are there chargers? *YesNo7th Device InfoLayout 7th DeviceDevice Description (7) *Laptop MacBook - AppleiPad - AppleLaptop - ChromebookLaptop - WindowsOtherNumber of Laptops - Apple MacBook *MacBook Chargers? *YesNoNumber of iPads - Apple *iPad Chargers? *YesNoNumber of Laptops - Chromebook *Chromebook Chargers? *YesNoNumber of Laptops - Windows *Windows Laptop Chargers? *YesNoDescribe Other *Number of Devices - Other *Are there chargers? *YesNo8th Device InfoLayout 8th DeviceDevice Description (8) *Laptop MacBook - AppleiPad - AppleLaptop - ChromebookLaptop - WindowsOtherNumber of Laptops - Apple MacBook *MacBook Chargers? *YesNoNumber of iPads - Apple *iPad Chargers? *YesNoNumber of Laptops - Chromebook *Chromebook Chargers? *YesNoNumber of Laptops - Windows *Windows Laptop Chargers? *YesNoDescribe Other *Number of Devices - Other *Are there chargers? *YesNo9th Device InfoLayout 9th DeviceDevice Description (9) *Laptop MacBook - AppleiPad - AppleLaptop - ChromebookLaptop - WindowsOtherNumber of Laptops - Apple MacBook *MacBook Chargers? *YesNoNumber of iPads - Apple *iPad Chargers? *YesNoNumber of Laptops - Chromebook *Chromebook Chargers? *YesNoNumber of Laptops - Windows *Windows Laptop Chargers? *YesNoDescribe Other *Number of Devices - Other *Are there chargers? *YesNo10th Device InfoLayout 10th DeviceDevice Description (10) *Laptop MacBook - AppleiPad - AppleLaptop - ChromebookLaptop - WindowsOtherNumber of Laptops - Apple MacBook *MacBook Chargers? *YesNoNumber of iPads - Apple *iPad Chargers? *YesNoNumber of Laptops - Chromebook *Chromebook Chargers? *YesNoNumber of Laptops - Windows *Windows Laptop Chargers? *YesNoDescribe Other *Number of Devices - Other *Are there chargers? *YesNo11th Device InfoLayout 11th DeviceDevice Description (11) *Laptop MacBook - AppleiPad - AppleLaptop - ChromebookLaptop - WindowsOtherNumber of Laptops - Apple MacBook *MacBook Chargers? *YesNoNumber of iPads - Apple *iPads Chargers? *YesNoNumber of Laptops - Chromebook *Chromebook Chargers? *YesNoNumber of Laptops - Windows *Windows Laptop Chargers? *YesNoDescribe Other *Number of Devices - Other *Are there chargers? *YesNo12th Device InfoLayout 12th DeviceDevice Description (12) *Laptop MacBook - AppleiPad - AppleLaptop - ChromebookLaptop - WindowsOtherNumber of Laptops - Apple MacBook *MacBook Chargers? *YesNoNumber of iPads - Apple *iPad Chargers? *YesNoNumber of Laptops - Chromebook *Chromebook Chargers? *YesNoNumber of Laptops - Windows *Windows Laptop Chargers? *YesNoDescribe Other *Number of Devices - Other *Are there chargers? *YesNo13th Device InfoLayout 13th DeviceDevice Description (13) *Laptop MacBook - AppleiPad - AppleLaptop - ChromebookLaptop - WindowsOtherNumber of Laptops - Apple MacBook *MacBook Chargers? *YesNoNumber of iPads - Apple *iPad Chargers? *YesNoNumber of Laptops - Chromebook *Chromebook Chargers? *YesNoNumber of Laptops - Windows *Windows Laptops Chargers? *YesNoDescribe Other *Number of Devices - Other *Are there chargers? *YesNo14th Device InfoLayout 14th DeviceDevice Description (14) *Laptop MacBook - AppleiPad - AppleLaptop - ChromebookLaptop - WindowsOtherNumber of Laptops - Apple MacBook *MacBook Chargers? *YesNoNumber of iPads - Apple *iPad Chargers? *YesNoNumber of Laptops - Chromebook *Chromebook Chargers? *YesNoNumber of Laptops - Windows *Windows Laptop Chargers? *YesNoDescribe Other *Number of Devices - Other *Are there chargers? *YesNo15th Device InfoLayout 15th DeviceDevice Description (15) *Laptop MacBook - AppleiPad - AppleLaptop - ChromebookLaptop - WindowsOtherNumber of Laptops - Apple MacBook *MacBook Chargers? *YesNoNumber of iPads - Apple *iPad Chargers? *YesNoNumber of Laptops - Chromebook *Chromebook Chargers? *YesNoNumber of Laptops - Windows *Windows Laptop Chargers? *YesNoDescribe Other *Number of Devices - Other *Are there chargers? *YesNo16th Device InfoLayout 16th DeviceDevice Description (16) *Laptop MacBook - AppleiPad - AppleLaptop - ChromebookLaptop - WindowsOtherNumber of Laptops - Apple MacBook *MacBook Chargers? *YesNoNumber of iPads - Apple *iPad Chargers? *YesNoNumber of Laptops - Chromebook *Chromebook Chargers? *YesNoNumber of Laptops - Windows *Windows Laptop Chargers? *YesNoDescribe Other *Number of Devices - Other *Are there chargers? *YesNo17th Device InfoLayout 17th DeviceDevice Description (17) *Laptop MacBook - AppleiPad - AppleLaptop - ChromebookLaptop - WindowsOtherNumber of Laptops - Apple MacBook *MacBook Chargers? *YesNoNumber of iPads - Apple *iPad Chargers? *YesNoNumber of Laptops - Chromebook *Chromebook Chargers? *YesNoNumber of Laptops - Windows *Windows Laptop Chargers? *YesNoDescribe Other *Number of Devices - Other *Are there chargers? *YesNo18th Device InfoLayout 18th DeviceDevice Description (18) *Laptop MacBook - AppleiPad - AppleLaptop - ChromebookLaptop - WindowsOtherNumber of Laptops - Apple MacBook *MacBook Chargers? *YesNoNumber of iPads - Apple *iPad Chargers? *YesNoNumber of Laptops - Chromebook *Chromebook Chargers? *YesNoNumber of Laptops - Windows *Windows Laptop Chargers? *YesNoDescribe Other *Number of Devices - Other *Are there chargers? *YesNo19th Device InfoLayout 19th DeviceDevice Description (19) *Laptop MacBook - AppleiPad - AppleLaptop - ChromebookLaptop - WindowsOtherNumber of Laptops - Apple MacBook *MacBook Chargers? *YesNoNumber of iPads - Apple *iPad Chargers? *YesNoNumber of Laptops - Chromebook *Chromebook Chargers? *YesNoNumber of Laptops - Windows *Windows Laptop Chargers? *YesNoDescribe Other *Number of Devices - Other *Are there chargers? *YesNo20th Device InfoLayout 20th DeviceDevice Description (20) *Laptop MacBook - AppleiPad - AppleLaptop - ChromebookLaptop - WindowsOtherNumber of Laptops - Apple MacBook *MacBook Chargers? *YesNoNumber of iPads - Apple *iPad Chargers? *YesNoNumber of Laptops - Chromebook *Chromebook Chargers? *YesNoNumber of Laptops - Windows *Windows Laptop Chargers? *YesNoDescribe Other *Number of Devices - Other *Are there chargers? *YesNoSubmit