Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Request Form for: Chrome Book Extension, iPad App, or iBook
Use this form to request ChromeBook Extensions, ChromeBook Plug Ins, iPad applications and iPad iBooks for approval. One request per form.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Teacher or Staff Member Name:
*
Type the name of the teacher or staff member requesting the ChromeBook Extension, ChromeBook Plug In, iPad application or iPad iBook.
Your answer
ChromeBook Extension, ChromeBook Plug In, iPad application or iPad iBook?
*
ChromeBook Extension
iPad app
iBook
Subscription
Name of ChromeBook Extension, iPad application, or iPad iBook:
*
Type the name exactly as it appears.
Your answer
Name of the company that created the ChromeBook Extension, iPad application, or iPad iBook:
*
This will help us make sure we purchase the correct application, extension or plug in.
Your answer
Price of the ChromeBook Extension, ChromeBook Plug In, iPad application or iPad iBook (price per copy):
*
Free
Other:
Brief description of educational use of ChromeBook Extension, ChromeBook Plug In, iPad application or iPad iBook:
*
Your answer
Number of Student Copies
Fill this section out if this ChromeBook Extension, ChromeBook Plug In, iPad application or iPad iBook is to be installed on student devices.
Grade Level Copies:
Select the grade level or student device that this ChromeBook Extension, iPad application, or iPad iBook should be purchased for. Be specific and account for all students.
Pre-Kindergarten
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Other Student Copies:
Use this field if the ChromeBook Extension, iPad application, or iPad iBook is for multiple students but not an entire grade level.
Your answer
Number of Staff Copies
Fill this section out if this ChromeBook Extension, ChromeBook Plug In, iPad application or iPad iBook is to be installed on teacher or staff member devices.
Number of Teacher or Staff Member copies:
*
How many copies of the ChromeBook Extension, ChromeBook Plug In, iPad application or iPad iBook are needed for teachers or staff members?
Choose
0 (teacher or staff member devices do not need this ChromeBook Extension, ChromeBook Plug In, iPad application or iPad iBook.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15 +
Teacher or Staff member Names:
*
List all teacher or staff member who will need a copy of this ChromeBook Extension, ChromeBook Plug In, iPad application or iPad iBook. The number of names must match the number you selected in the previous question.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Bolton Central School District.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report