BPMS Student Chromebook Issue

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This form is for students and families to place device requests. Please not the following:

1. Broken devices MUST be delivered to Student Services ONLY and placed in the drop off box. You must have a pass!
2. All new devices will be delivered to your [child's] HOMEROOM
3. Please allow at least 2 days from the time you submitted the form to receive your new device.

Student's Name (First and Last) *

Student Grade *

6th

7th

8th

Homeroom Teacher *

Also known as BC or Student Advisory Teacher (Period 7 on the schedule)

Parent Name *

Parent Phone Number *

Parent Email- IF none please type N/A *

Are you NEW to AACPS and need a new device? *

Yes

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