Charge Pass Request Form

Charge Pass Request Form

HOLY CROSS HIGH SCHOOL
Teacher*
Student*
Forgot to ChargeFully Charged in the Morning, But Died Before the End of The DayDied Fast Because of Classroom SoftwarePlaying Games / Streaming VideoPlugged in, but didn't charge
Additional Comments
Date

MonthDayYear
Date
Hour MinutesAM/PM Option
Please Note

If student has exceeded the 3 "Forgot to Charge" passes, they will be issued a detention.
Please Note

Student may be called up for a tablet expection if this reason is used repeatedly. The tablet will be checked for malfunction. If tablet is found to have died due to streaming non educational video/music/or games, a detention will be issued.
Please Note

Student may be called up for a tablet expection if this reason is used repeatedly. The tablet will be checked for malfunction. If tablet is found to have not been charged due to negligence detention will be isued.
Please Note

If tablet is found to have died due to streaming non educational video/music/or games, a detention will be issued.
Should be Empty: