GUSD Chromebook Return Form

GUSD Chromebook Return Form

Directions:Please complete this form when returning your Chromebook. This form can be completed by the student or parent/guardian. (THIS FORM MAY BE USED IF THE TEACHER HAS BEEN ASSIGNED A CHROME CART.)
Student Chromebook is assigned to*

First NameLast Name
Date Chromebook is returned*

MonthDayYear
Date
Campus Student Attends*

Copper Rim ElementaryTKO OnlineHigh Desert Middle SchoolAlternative SchoolGlobe High School
Student Current Grade for 2022-2023 School year*
RED Asset Tag Number on Chromebook *
Example
Please check the item(s) you are returning*

ChromebookPower AdaptorCaseHotspot
PLEASE CHECK THE ITEM(S) THAT ARE IN NEED OF REPAIR*

ChromebookPower AdaptorCaseHotspotEverything works fine to the best of my knowledge
If you indicate any item in need of repair please check the box below, so all necessary repairs can be made in preparation for start of next school year.

Chromebook does not power on normallykeyboard work not working correctlyTouchpad (mouse) not workingChromebook does not charge battery properlyScreen flickersScreen is damaged/crackedExterior ports are not workingCharge Adaptor is not working
Student Digital Signature

First NameLast Name
Parent/Guardian Digital Signature

First NameLast Name
Teacher Digital Signature

First NameLast Name
Please provide this number to the GHS bookstore, or to the I.T. Department as proof you have turned in your equipment.
Please click submit after you have completed this form
Should be Empty: