ChromeBook for Summer Instructional Use
Please complete the form below if you would like to keep your laptop over the summer for instructional purposes.  You will need to bring your laptop back to school on the first day to be ready for school in the fall.
Email *
What is the Madison HS STUDENT's name (FIRST name LAST name)? *
What is the Madison HS Student's ID number? *
What is your Madison HS Student's ChromeBook barcode (List ALL 10 Digits)? *
Captionless Image
Does the ChromeBook currently have any PHYSICAL damage?  (Check ALL that apply) *
Required
Over the summer, the student will need to make sure that their ChromeBook is powered on once a week for approximately 1 hour, and then restarted.  Do you agree to do this? *
Required
Over the summer, if there are any issues that arise with your ChromeBook, the student will need to bring it physically to Madison HS for any necessary repairs, and to obtain a loaner device.  Do you agree to do this?  (Type "I agree") *
The FCPSOn ChromeBook is to be used for instructional purposes, both during the summer and during the school  year.  Do you agree to do this? *
Required
Over the summer, if you find that the student will NOT be returning to Madison HS in the fall, the student MUST return the Chromebook AND charger to the school.  Do you agree to do this?  (Type "I agree") *
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