Request Chromebook
*********Please put one request in for each Chromebook you need.***********
* Required
What is your name
*
First and last
Your answer
What is the serial number of the Chromebook?
Please enter one Chromebook per form entry.
Your answer
What site are you at?
*
Choose
Academy/Irwin
Brentwood
Challenger
Del Rey
Discovery
Endeavour
Galileo
Green Tree East
Liberty
Lomitas
Mojave Vista
Mountain View Montessori
Park View
Puesta Del Sol
Sixth Street Prep
Village
West Palms
RB21
What is your room number?
*
Your answer
Reason for Request
*
Choose
New Student and not Enough Chromebooks
Replace Chromebook (Stopped Working)
Replace Chromebook (Accidental Breakage)
Comments also please add student's name of Chromebook here:
Include any details of the problem with your Chromebook.
Your answer
Submit
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