JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Franklin Chromebook Request Form
Please allow 2 working days to distribute the Chromebook to your child. Please see Mrs. Lisha in room 117 if you have any questions.
Sign in to Google
to save your progress.
Learn more
What is the child's first and last name?
Your answer
Student ID Number. 201.........
Your answer
Who is the child's period 6 teacher?
Your answer
Grade Level
6th
7th
8th
Clear selection
Additional Comments(optional)
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Long Beach Unified School District.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report