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RESOURCE REQUEST

RESOURCE REQUESTIT Support2021-05-06T17:39:51+00:00

Resource Request Form

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Welcome
This is the Resource Request Form where you can request curriculum and other resources for your students. If you would like to request a subscription, computer or something from our equipment lease program please be sure to fill out the specific forms for these available in the family room on the website.

Family Information
Today's Date*
MM slash DD slash YYYY
Parent Name*
First Name Last Name
Email
Family Teacher*
School Year*
Who is Requesting Item(s)?*
- Parent
- Teacher
Mailing Address
Name
*
Street Address City Province Postal Code

Student Information
Name*
First Last
Grade*
Is your child in our SPED program?*
- Yes
- No
Resource Information
Resources*
Resource Quantity Link Office Use Consumable, Librarium or Both
Additional Comments and/or Shipping Codes
Please allow 4 weeks for delivery.
Once the item has shipped, you will receive a confirmation in your email.
Additional Information
Will you be requesting resources for a second student?*
- Yes
- No

Student Information
Name*
First Last
Grade*
Is your child in our SPED program?*
- Yes
- No
Resource Information
Resources*
Resource Quantity Link Office Use Consumable, Librarium or Both
Additional Comments and/or Shipping Codes
Please allow 4 weeks for delivery.
Once the item has shipped, you will receive a confirmation in your email.
Additional Information
Will you be requesting resources for a third student?*
- Yes
- No

Student Information
Name*
First Last
Grade*
Is your child in our SPED program?*
- Yes
- No
Resource Information
Resources*
Resource Quantity Link Office Use Consumable, Librarium or Both
Additional Comments and/or Shipping Codes
Please allow 4 weeks for delivery.
Once the item has shipped, you will receive a confirmation in your email.
Additional Information
Will you requesting resources for a fourth student?*
- Yes
- No

Student Information
Name*
First Last
Grade*
Is your child in our SPED program?*
- Yes
- No
Resource Information
Resources*
Resource Quantity Link Office Use Consumable, Librarium or Both
Additional Comments and/or Shipping Codes
Please allow 4 weeks for delivery.
Once the item has shipped, you will receive a confirmation in your email.
Additional Information
Will you be requesting resources for a fifth student?*
- Yes
- No

Student Information
Name*
First Last
Grade*
Is your child in our SPED program?*
- Yes
- No
Resource Information
Resources*
Resource Quantity Link Office Use Consumable, Librarium or Both
Additional Comments and/or Shipping Codes
Please allow 4 weeks for delivery.
Once the item has shipped, you will receive a confirmation in your email.

CONTACT

810 Tenth Street Nelson, BC V1L 3C7

+888-352-2435

info@chekabc.ca

Office Hours

Monday 8:30am – 3:30pm
Tuesday 8:30am – 3:30pm
Wednesday 8:30am – 3:30pm
Thursday 8:30am – 3:30pm
Friday – Closed

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