TECHNOLOGY EQUIPMENT FORM/WAIVER

Items in bold are required.


In accordance with the Michigan Department of Education Pupil Accounting Manual 5-O-B A.6.a. and A.6.b., a computer will be offered to learners enrolled under an approved seat time waiver that includes internet capacity and appropriate software configuration for use by the pupil in the home for the length of time that the pupil is enrolled in the seat time waiver program. The broadband internet capacity shall be a minimum of 1 Mbsp up/3 Mbsp down for use in the home for the length of time that the pupil is enrolled in the seat time waiver program. Where broadband access is severely limited, the Michigan Department of Education must give written approval for “offline” computer-based delivery of instruction and an alternative means of providing teacher-pupil interaction shall be required and shall be documented.


Student Name:  
Date:
Parent/Guardian Name:  
Date:
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