Chromebook Registration Form 2019-2020
Questions? Visit our 1:1 Chromebooks website at
or email OIT at
or call OIT office: (978) 694-6071
Student First Name
Student Last Name
Student Grade (entering fall 2019)
entering Grade 6
entering Grade 7
entering Grade 8
entering Grade 9
entering Grade 10
entering Grade 11
entering Grade 12
Mailing Address: Street name and number
Mailing Address: City, State, Zip Code
Please refer to full description prior to making a selection
1. I will purchase or have purchased a Chromebook(s) through the Dell website at
. (Click “Shop” then “Standard Configuration”)
2. My child qualifies for free or reduced lunch and therefore qualifies for a loaned or reduced-cost Chromebook. I authorize the WPS Office of Information Technology (OIT) to obtain my free or reduced lunch status through the National School Lunches Program available from WPS Food Services. All information will be kept confidential.
3. I have a hardship and would like to apply for a waiver or reduced cost Chromebook and do not meet any of the above mentioned qualifications.
4. I will purchase a different brand of Chromebook, or from another vendor; or my child already has a Chromebook that meets or exceeds the specifications laid out in the Chromebook Specifications document.
My child will be attending another school next year.
A copy of your responses will be emailed to the address you provided.
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