2022-2023 Student Chromebook Checkout

Students in grades 6-12 or who attend TKO and wish to check out a Chromebook must complete this form along with payment or JOM documentation to obtain a Chromebook for the school year.

Students that failed to return Chromebooks due to lost, stolen or damaged devices for the 2021-2022 School year will not be cleared for Chromebook checkout until the assigned Chromebook has been returned or paid for.

This form can also be completed at the GHS bookstore

Student Name *

First Name Last Name

Student ID # If known

Student Grade Level for 2022-2023 *

Campus student will attend for 2022-2023? *

Asset Number Number of Chromebook

If form is completed off campus, leave box empty

Assigned School Email *

example@globeschools.org - If student is new to GUSD the student email will be first.lastname@globeschools.org

Parent/Guardian Contact Cell Number *

Please enter a valid phone number.

Parent/Guardian, and student understanding - Each must be reviewed and agreed to in order to check out a district Chromebook from GUSD. *

I understand if my child(s) enrollment changes or at the end of the school year I am responsible for returning the Chromebook back to the Globe Unified School District in the same condition it was assigned. I also Understand if I have any problems with the device it must be reported to the GHS bookstore or to High Desert Middle School office. - this pending student grade level. I also understand if I lose misplace or the Chromebook becomes damaged beyond repair I will be held responsible for the full value of the device replacement, this also includes the power adaptor The Parent/Guardian, and student understand if he or she abuses the use of the Chromebook device they will loose the privilege of using a school assigned Chromebook

Checking out a Chromebook for the 2022-2023 school year will require the purchase of a paid insurance policy on the device. Payment Method: Cash or Check Only. Please select an option below

Free Lunch Program $10.00 Reduced Lunch Program $15.00 Standard Enrollment is $25.00 JOM Program $0.00 (please bring CIB documentation when picking up your Chromebook)

CIB Number if Applicable to registration

NEXT STEPS

After you have submitted this form report to the GHS bookstore to pay and obtain your Chromebook after July 11, 2022. If you are on the JOM program, please bring your JOM documentation.

GHS bookstore will verify you have completed and submitted this form.

Please note checking out a Chromebook will require the purchase of a paid insurance policy on the device. The cost for the insurance will be as follows.

Free Lunch Program $10.00
Reduced Lunch Program $15.00
Standard Enrollment is $25.00
JOM Progam $0.00

Payment Method: Cash or Check Only