K12USA.com Network Management Services
SecureSchool Signup Information Form
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Red Items are Required
Shipping Information

Name of School:
Street Address:
City:
State/Country:
Zip:
Total Student Enrollment:

Technical Contact (for access to Web-Based Controls)

Full Name:
Phone Number:
E-Mail Address:

Second Contact (can be business, administrative, technical)

Full Name:
Phone Number:
E-Mail Address:

Additional Technical Contacts

Full Name:
Phone Number:
E-Mail Address:

Full Name:
Phone Number:
E-Mail Address:

Technical Configuration Information

In order to configure our box to your network settings, we will need additional information from you. If you should require assistance, or if you have any questions please contact toll-free us at 877-225-0100 or via e-mail at info@k12usa.com.


What type of Internet connection do you have? (T1, Cable, DSL, etc):
How many buildings do you have for your school or district?
If you have more than 1 building how many Internet connections do you have?
Approximate number of workstations in your district:
Approximate Number of iPad/iPod/Android Devices in your district:
What is a good time to call you to discuss the setup and configuration for SecureSchool?

Note: This will not be a sales call. One of our technicians will be talking to you about your network setup. We ship SecureSchool pre-configured for your network to make it easy for you to install.



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