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Student Device Repair
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* Indicates required question
Student Name
*
Your answer
Address (House/Apartment # and Street)
*
Your answer
Address (City)
*
Your answer
Address (Zip Code)
*
Your answer
Email Address
*
Your answer
School
*
Millridge Elementary
Center Elementary
Lander Elementary
Gates Mills Elementary
MMS
MHS
Grade
*
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Freshman
Sophomore
Junior
Senior
Repair Type
*
Broken Screen
Broken Keyboard
Headphone Jack
Battery
Charging Port
Trackpad
Other (please specify in description below)
Description of the Issue
*
Your answer
Chromebook Password
*
Your answer
Chromebook Serial Number (Alt+V from log in screen begins with SN:)
*
Your answer
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