2019-2020 Chromebook Request Form

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Please fill out this form if you would like your student to borrow a Chromebook owned by WPS for the 19-20 school year. Please fill out a separate form for each student if you have multiple students requesting to borrow district owned Chromebooks. You DO NOT need to fill out this form if you are not requesting a district issued Chrombook for this coming school year.

Email *

My student is a *

I would like my student to use a Chromebook on loan from the Winchester Public Schools. *

Yes

Do you currently have a district issued Chromebook in your possession? *

Yes

If you currently have a district issued Chromebook in your possession, which school issued it?

My student's last name is *

My student's first name is *

My name is (last name, first name) *

My relationship to the student is *

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