Chromebook Exchange Device Loaner Form: 2nd grade in-person students
The City School District of New Rochelle is providing updating Chromebooks for 2nd grade students. The district Chromebook your child now has will be exchanged for an updated Chromebook.
Please complete the new Chromebook Device Loaner Form below. Be sure the guardian and the student read and initial the Device Loaner Terms & Conditions. Also, please ensure that both student and guardian have read the enclosed AUP. To ensure your form is received please be sure to click on the Submit button at the end of the form. The updated Chromebook will not be given to a student if the device loaner form is not fully completed and submitted. Please complete your Chromebook Loaner Online Form by Wednesday, June 16th. We will process the exchange with your child during school hours. Thank you.
Parent Full Name
Parent Telephone Number
Student First Name
Student Last Name
Student ID Number
Student Chromebook Address (@
Your Child's Homeroom Teacher
Select your Child's Grade
Page 1 of 3
Never submit passwords through Google Forms.
This form was created inside of City School District of New Rochelle.