2024-2025 LCAP Chromebook and/or Hotspot Device Lending Request 
Parents, guardians or school staff may request a Chromebook and or hotspot for students to use for the school year. These devices must be returned at the end of each school year, or if the student is leaving PUSD. These devices are to be used for school use only and will fall under the Student Acceptable Use Policy guidelines.

By filling out this form you are requesting a device for a student who does not have access to a computer(laptop or desktop) and if requesting a hotspot, does not have internet access at home. We monitor hotspot usage and may ask that the hotspot be returned for nonuse or misuse. You must report all lost or damaged devices right away to your schools parent liaison. 
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Student Information
Student's First Name
 *
Student's Last Name *
Student's ID number  *
Student's School Site *
Student's home address *
Parent/Guardian Information
Parent/Guardian First & Last Name *
Parent/Guardian Phone Number *
Preferred Language  *
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