Chromebook Request Form (Parent)

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Chromebook Request Form (Parent)

If you are in need of a Chromebook or the Chromebook you were issued last year has been damaged or needs service please complete the following for no later than Monday, August 31, 2020.

* Indicates required question

Email *

Your email

Student Name *

Your answer

Student Grade *

Grade 3

Grade 4

Grade 5

PreK

Required

Student Lunch ID Number *

Your answer

Parent Name *

Your answer

Did the student receive a EOSD Chromebook in March 2020? *

Yes

No

Do you need a Chromebook for Remote Learning during the 20-21 SY? *

Yes

No

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of East Orange School District. Report Abuse