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2020-2021 Chromebook Loan Form
Please fill out the form below if you wish to borrow a Chromebook from the district.
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* Indicates required question
Email
*
Your email
Phone number
*
Your answer
Home address (number and street. Example- 2000 West State Street)
Your answer
Student ID# (Same as Caf-Trac/lunch number. Student should know this information. If not, ask their teacher or call school office. )
*
Your answer
Student's First Name
Your answer
Student's Last Name
Your answer
Student's Homeroom Teacher
Your answer
Student's Grade
Choose
K
1
2
3
4
5
6
7
8
9
10
11
12
Do you have wifi/internet that will allow a Chromebook to connect?
Yes
No
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