Chromebook Request: Earhart Elementary School
Sign in to Google to save your progress. Learn more
Parent: What is your name? *
Do you currently have a CPS Chromebook? *
If you currently have a Chromebook, tell us what problem you're having with it.
What is your contact telephone number (please include the area code)? *
What is your mailing address on record with Chicago Public Schools? *
Parent: What is your email address? *
What is your child's name? If you have more than one student at Earhart, please list their names here as well. *
What grade will your child be in for the 2020-2021 school year? *
Why are you interested in receiving a Chromebook? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Chicago Public Schools. Report Abuse
Google Forms