IS 230 Technology Device Request
Please complete this form if you are requesting to sign out an electronic device for use at home.
You will have to come in to school with ID to pick up and SIGN OUT the device.
By completing this form you are letting the school know that you need a device for remote learning days at home. You also agree to be responsible for the BORROWED device and return it when asked to do so by the school or when discharging your child from NYC Public Schools.
Sign in to Google to save your progress. Learn more
Email *
Parent Name (First and Last) *
Student Name (First and Last) *
Student ID# (can be found on their ID card) *
Student Grade *
Clear form
Never submit passwords through Google Forms.
This form was created inside of NYC Department of Education. Report Abuse