Orange Prep Chromebook Request Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

All students are required to have a District issued Chromebook for class. If you were never issued a device or have a device that is not working, please complete the form below. All KIOSK dates will be announced via Remind or the School webpage. Please be patient as we try to service all of our students. Students who never received a district device will be prioritized. Thank you for understanding.

Student's Last Name *

Student's First Name *

Parent's Full Name (Last, First) *

Grade *

Grade 8

Grade 9

Reason for Chromebook Request *

Never received a district issued device

My Chromebook is not holding its charge

My Chromebook is extremely slow

My Chromebook is damaged (broken screen or other)

Clear form

Never submit passwords through Google Forms.

This form was created inside of Orange Public Schools. Report Abuse

Forms