Virtual Academy Chromebook Request form

If your virtual student needs a school chromebook to use for virtual academy classes, please fill out this form to request one.

Only one student per form please. If you have multiple students, please fill it out for each student separately.

Student Name Student Name First Last
Grade:
Parent Name: Parent Name: First Last
Parent Email:
Agreement

Draw or Type

I understand that this chromebook is the property of Oskaloosa Community School District and should be returned to the central office upon leaving the virtual academy anytime during the school year, or returned at the end of the school year. The technology loan agreement signed during registration applies and any damages or missing items will be charged to the parent.

This chromebook will be filtered and violations of the acceptable use policy will be disciplined with restrictions on access to websites or services. Clear

Full Name

I understand that this chromebook is the property of Oskaloosa Community School District and should be returned to the central office upon leaving the virtual academy anytime during the school year, or returned at the end of the school year. The technology loan agreement signed during registration applies and any damages or missing items will be charged to the parent.

This chromebook will be filtered and violations of the acceptable use policy will be disciplined with restrictions on access to websites or services.