Student Device Check In Form
Student Name
First Name
Last Name
Grade
Student ID #
Teacher's Name
First Name
Last Name
Teacher's Email
example@example.com
Device Serial #
State of Device
Ready
Broken or damaged
Software problems
Other
Returning Charger
Yes
No
Additional Information about the Device
Date
-
Month
-
Day
Year
Date
Signature
Submit
Should be Empty: