Chromebook Request Form - Lincoln HS
The LAUSD School District is no longer providing Chromebooks to students and you can no longer request one on the Parent Portal.  

Lincoln High School is committed to making its best effort to provide a device to students in high need.  Please request one if you intend to use it regularly.  We have a limited inventory of older functioning Chromebooks for students.  Fill out the form with your information and we will provide you with a Chromebook.  

You are agreeing to treat the equipment as your own and turn it in when you graduate or if you unenroll.  Chromebooks will be issued to students who do not have devices assigned on Destiny (Schoology->App Center at top->Destiny Library)

Be sure to clear devices from other schools (elementary and middle school) before submitting a request.
Sign in to Google to save your progress. Learn more
Student Full Name *
Grade *
Parent / Guardian Contact Full Name *
Parent Contact Phone Number
District ID (or Birthday)
Advisory Teacher Last Name
My son and daughter and I agree to keep the device safe and return it in working order upon leaving Lincoln HS.  I understand that a charge may be assessed for damages (cracked screen, missing keys, defacement). *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report