Student Loaner Request Form

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Please complete the entire form before 9am in order to receive a loaner for the remainder of the school day. A tech team member in your homeroom will retrieve and bring back the Chromebook for you. There will be no need for the student who borrows the device to leave the class.

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* Indicates required question

Full Name *

Your answer

Grade *

4

5

6

7

ID# *

Your answer

Homeroom Teacher *

Choose

Ms. Bartley

Ms. Beaumont

Mr. Meredith

Mr. Ntoufas

Mrs. Lundy

Ms. Choulouette

Describe why you need a loaner today, make sure you are clear and specific: *

Your answer

Submit

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