ALMS Device Request for Home Use
This form should only be utilized by parents/guardians of students that do not have access to technology at home. You must answer all questions to be eligible for device check-out.

Requests will be reviewed and you will be contacted with information on when your requested chromebook is available to be picked up.

NOTE: Requests may not be filled on a daily basis due to the Stay-at-Home Order.
Student's First Name *
Your answer
Student's Last Name *
Your answer
Student's Homeroom Teacher *
Your answer
Parent/Guardian Contact Name *
Your answer
Preferred method of contact *
Email Address of Parent/Guardian *
Your answer
Contact Number of Parent/Guardian *
Your answer
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