Student Google Password Reset Form

***PLEASE READ***

Dear Student at Bloomfield Schools,

To request a password reset of your student Google account with Bloomfield Schools, all required fields must be completed below. Once you click submit on this form, PLEASE READ INSTRUCTIONS on the following page. You must wait 24 hours for password reset.

NOTE: You are required to already have a student Google account with Bloomfield Schools in order for this password reset form to work. By initialing below and submitting this form, you agree to the District Technology Usage Guidelines and User Agreement (Board Policy I-6431).
What is your first name? *
Enter your first name
What is your last name? *
Enter your last name
What is your Bloomfield Schools email address? *
Enter the email address already given to you
What school do you currently attend? *
Select a school
What grade are you currently in? *
Select a grade level
What is your birthdate? *
Enter your birthdate
MM
/
DD
/
YYYY
To confirm, enter your first and last initials below. *
Type your initials below. Once you click submit on this form, PLEASE READ INSTRUCTIONS on the following page.
Submit
Never submit passwords through Google Forms.
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