Chromebook Exchange Device Loaner Form: Fifth Grade Students
The City School District of New Rochelle is providing new touch screen Chromebooks for fifth grade students. The district Chromebook your child now has will be exchanged for a new touch screen Chromebook.
1. Please complete the new Chromebook Device Loaner Form below. Be sure the guardian and the student read and initial the Device Loaner Terms & Conditions. Also, please ensure that both student and guardian have read the enclosed AUP. To ensure your form is received please be sure to click on the Submit button at the end of the form. A new Chromebook will not be given to a student if the device loaner form is not fully completed and submitted. Please complete your Chromebook Loaner Online Form by Monday, June 7th. We will process the exchange. Please see the exchange schedule below.
2. Chromebook Exchanges
Virtual families can come to the building and exchange their child's device Chromebook on the days/times indicated the schedule below. Please do not forget to bring in the Chromebook power charger to process the exchange.
Schedule for all virtual students: FRIDAY, JUNE 11th * 8:30-12pm or 1:00-3:00pm
Parent Full Name
Parent Telephone Number
Student First Name
Student Last Name
Student ID Number
Student Chromebook Address (@
Your Child's Homeroom Teacher
Select your Child's Grade
Page 1 of 3
Never submit passwords through Google Forms.
This form was created inside of City School District of New Rochelle.