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HMSA Parent and Student technology support request form (Pariente o Estudiante formulario de solicitud para soporte de tecnología)
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* Indicates required question
Parent First Name (Primer Nombre Pariente)
*
Your answer
Parent Last Name (Apellido, Pariente)
*
Your answer
Student First Name (Primer Nombre, Estudiante)
*
Your answer
Student Last Name (Apellido, Estudiante)
*
Your answer
Email address (Correo electrónico.)
*
Your answer
Day time phone number (Número de teléfono durante el día.)
*
Your answer
Select your technology-related issue (Seleccione su problema relacionado con technologia.)
*
Choose
Network Issue (Coneccion)
Chromebook
iPad
Google Classroom
Application (aplicación)
Password login issues
No Internet at home (Sin Internet en el domicilio)
Other
I am a (soy un)
*
Parent or Guardian (Pariente o guardián)
Student (Estudiante)
Hawthorne School District Employee
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