Deubrook Computer/ChromeBook Check-In 2021-2022 Form
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First Name *
Last Name *
Tablet Model *
Tablet / ChromeBook Number *
Serial Number *
Grade *
Computer Screen - Does the touch screen work? *
Does your computer have a stylus *
Stylus - Does it work? *
Tether for Stylus *
Keyboard - Does it work properly? *
Power Adapter with Cord, Number should match your computer number. *
Computer Case/Sleeve *
Name Tag Attached to the Computer Case/Sleeve *
Comments Area
Comments - Please indicate any damage or issues with the computer? This is very important to record all information, as this is what the Deubrook Technology Staff will look at, if you have damage to your computer at the end of the school year. Reminder if you damage your computer, you will be charged a fee of $25 or $50 depending on the amount of the damage. *
To check-in your computer you must record your full name below. *
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This form was created inside of State of South Dakota K-12 Data Center. Report Abuse