OregonK-12.net Google Apps for Education Application

This form is for representatives of Oregon public school districts and ESDs to formally request a Google Apps for Education domain under the Google Apps for Education Oregon agreement. If you are a parent, teacher, or interested community member, please do not fill out this form. Instead, please contact your local school district administrators and ask them to apply.

Please read the Google Apps for Education Oregon agreement before continuing.

School district or ESD: *

Requesting person

Requesting person's name: *

Requesting person's title: *

Requesting person's e-mail: *

Requesting person's telephone:

District Contracting

District contracting contact name: *

District contracting contact e-mail: *

District contracting contact telephone:

District Technical Contact

District technical contact name: *

District technical contact e-mail: *

District technical contact telephone:

Word verification: * Type the characters you see in this picture.

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Type the characters you see in the picture above; if you can't read them, submit the form and a new image will be generated. Not case sensitive.