HSI-Houston Student Chromebook Request Form
Dear Harmony Parent/Guardian,
In the event of continued closure after April 7th, Harmony Public Schools is committed to helping students and their teachers continue learning outside of school. Students with no available technology devices for distance-learning may check out a Chromebook for their use at home. Because we have limited numbers of devices, we need you to submit this form if you need a Chromebook device for your children's distance learning. Please submit your request as soon as possible as devices will be issued on a first-come, first-served basis. You will receive a confirmation email and instructions on next steps once your form has been received.


A. You will be fully responsible for the Chromebook and charger for the remainder of the school year.

B. If the Chromebook and charger are lost, damaged, destroyed, stolen (Example - missing keys, liquid spills, dropped, cracked screens, etc.) or NOT returned in the same condition at the end of the school year, you will be responsible for a $315.00 fee payable to HSI-HOUSTON.

Note: You are not required to check out a school Chromebook.

You may use your own piece of technology for distance learning as google classrooms work on all operating systems. Please keep an eye on your emails for our Chromebook distribution schedule.

Parents, you are REQUIRED to complete a separate survey for EACH of your student attending HSI-HOUSTON ONLY.

If you signed for checking out a Chromebook please find the below delivery dates and times

* Wednesday, March 25th Time 11:00 a.m.- 1:00 pm.

*Thursday, March 26th Time 11:00 a.m.- 1:00 pm.

Thank you for your patience and for partnering with us in your student's education.
Email address *
Parent/Guardian Full name? *
Your answer
Student Full name? *
Your answer
Student Grade *
What is a good email address where we can contact you? *
Your answer
Do you need to check out a Chromebook for your child/children? *
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