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Chromebook Request

Student Name*

Answer required for "Student Name"

Student ID or Birthday (mm/dd/year)*

Answer required for "Student ID or Birthday (mm/dd/year)"

Request*

Answer required for "Request"

I am a new student. I need a Chromebook.

My Chromebook is lost/stolen.

My Chromebook needs to be repaired or replaced. (Go to F38 or E25)

If your Chromebook needs to be repaired or replaced, tell us what is the problem.

Answer required for "If your Chromebook needs to be repaired or replaced, tell us what is the problem."

Confirmation Email

Answer required for "Confirmation Email"