JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Student Device Request & Loan Terms of Use Agreement SY 2025-2026
Please note that receiving a device is not guaranteed — availability depends on inventory, and we will notify you if we are able (or unable) to provide one.
Sign in to Google
to save your progress.
Learn more
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of NYC Department of Education.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report