Lebanon City Schools Device Loan
Sign in to Google to save your progress. Learn more
Chromebooks aren't required.  Students are encouraged share devices (including available devices you already have at home and devices already issued to Lebanon High School students).  It is not possible for every student to have a separate device. *
How many students live in your home?  Include all students in grades K-12. *
How many available devices (desktop PC, tablet, iPad, laptop, Chromebook) do you currently have in your home that your student(s) can use?  Please include Chromebooks issued to Lebanon High School students in your count. *
Please list the first and last name of each student in your home. *
Please indicate the grade levels of your student(s).  Mark all that apply. *
Required
First and Last name of person completing this form. *
Contact email address (please double-check this for accuracy).  All communication about device pick-up will come to this address.  You will need to check this email for information about getting the device. *
Contact phone number *
Address for day-time delivery of device
Do your students have internet access? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Lebanon City Schools. Report Abuse