PCSD Chromebook/Device Request Form

Please provide your information to request a Chromebook or Device.

First Name
Last Name

Example: 44SmithJ@phoenixcsd.org

Example: MrMrsSmith@gmailemail.com

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This phone number may be used if the PCSD IT Department has any questions and to arrange pickup (if necessary).

If "Yes", What is the Asset Tag number on the bottom (orange tag)?