Personal Appliance Request Form
Please complete the following form to request permission for use of a personal appliance in your classroom or workspace for educational purposes. This request will be reviewed and approved/denied by your Principal.
Please pick your location from the drop down: PHSMSPLINTOFWLR
First Name:
Last Name:
Room #:
Email:
What type of appliance are you requesting permission for? (Please be specific)
What is the need for this appliance? (Please be specific)