BHS Chromebook Request Form
Brookline High School is committed to making sure that all students have access to a device to support remote learning. If you need to borrow a Chromebook for any reason, please complete this form.

If you have more than a single need, please complete this form for each student.

You will be emailed when the chromebook is ready for pickup.
Student First Name: *
Student Last Name: *
Grade: *
Student's School-issued Email Address (if known):
Programs (if Known)
Brookline High school has many programs that support students. If you are a member of any of these programs, please let us know so we can inform program leaders.
Do you have a reliable Internet connection at home? *
Additional Comments, Questions, Concerns:
Requestor Name: *
Requestor Email: *
Requestor Phone: *
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