Student Surplus Chromebook Request Form
Boone County Board Policy 04.8 – Disposal of School Property:

If the District receives a written determination that surplus technology does not meet Kentucky Education Technology System standards, it may choose to distribute the refurbished surplus property to eligible low-income students.

First priority shall be given to eligible students in the free or reduced lunch program, and they or their parent/guardian must request the property in writing.

Per the above policy, parents/guardians must initiate the request. Completion of this form begins that process.
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Email *
Student First Name *
Student Last Name *
Student Date of Birth *
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Student Number on IC Report Card *
Student Address (Number, Street Name, Apt #) *
City *
State *
Zip Code *
School *
Grade Level *
Guardian/Parent First Name *
Guardian/Parent Last Name *
Guardian/Parent Address *
City *
State *
Zip Code *
Home Phone *
Parent Email Address *
Terms and Conditions *
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A copy of your responses will be emailed to the address you provided.
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