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Hartman Chromebook Request Form
If requesting multiple devices, a form must be completed for EACH child requesting a device.
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* Indicates required question
Email
*
Your email
Student's Name/nombre del estudiante
*
Your answer
Grade Level/nivel de grado
*
Pre-K
Kinder
1st
2nd
3rd
4th
5th
How is the student currently attending school?/¿Cómo asiste a la escuela el estudiante?
*
Virtual
In Person/en persona
Parent Name/nombre del padre
*
Your answer
Phone Number where we can reach you when a Chromebook becomes available/Número de teléfono donde podemos comunicarnos con usted cuando un Chromebook esté disponible.
*
Your answer
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