Student Chromebook Request
Initial Device Distribution (Chromebook delivery only)
Repair/Replacement (for IT Support use Only)
Return Device (Chromebook and/or mifi return)
Delivery and Return (Chromebook delivery/mifi return)
Street Address for Delivery or Pick Up
Where should the device be delivered or pick up? A physical address is required for delivery and return of devices. Delivery or pick up will occur between 8:00 am and 3:00 pm. Be sure to include apartment/unit number if applicable.
Contact Phone Number
Do you have a Device to be returned?
Specific Delivery/ Pick up notes. Date and time
I (parent/guardian) hereby certify the information provided is accurate. Additionally I understand that the device remains the property of the Anchorage School District. I agree to abide by the school district's policies regarding the care and proper use of district devices.
Yes, I agree
No, I do not agree
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This form was created inside of Anchorage School District.