New Request

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This form can be used to:

• Report a problem with a computer or related technology
• Request technology support and training for yourself, your students, or your technology lessons
• Request assistance with your web page

There are instructions below to help you complete the form. Some fields are marked as required. You will not be able to submit this request unless you complete all of those required fields.

Address this Request

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This is a required field.

Use the pop up menu below to select where this request should be sent.

Your Name and Email address

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These are required fields.

Your Name:

Your email address:
Please be sure to enter your email address correctly as it will be used to contact you.

Your School and Location

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Your school is a required field.

Select your school from this pop-up menu.

Ames Blythe Park Central Hauser Jr. High Hollywood Select your school

Enter your location within this school. (example: room 101, or LRC, or grade 4)

Equipment or Support

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This is a required field.

Use this text area to identify the type of equipment that is experiencing the problem.or enter the word Support if you are requesting support. For equipment try to give the make and model and as much information as you can to help identify the item.

Request

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This is a required field.

Use this field to enter either:

• a description of the problem your are having with the equipment. Be as specific and complete as you can in describing the problem.

  - OR -

• your request for tech support. Again, provide as much information as you can.

Steps Taken

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Use this box to enter any steps you have taken in troubleshooting the problem.

Submit or Erase this Form

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Submit this form by clicking on the Submit this request button. Once submitted the form cannot be changed.

You can erase this entire form and start over by clicking in the Erase this form and start over button below.

Return to the Staff Information Page