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Student Technology Assistance Form
FIRST AND LAST NAME OF THE STUDENT
Your answer
What type of Device do you have?
Type of Issue
Please briefly describe the issue you are having
Your answer
Error Message- If Applicable
If no error message, leave this one blank.
Your answer
PLEASE CHOOSE YOUR TEACHER'S NAME FOR EACH OF THE PERIODS BELOW. IF YOU DO NOT HAVE A CLASS ON CAMPUS DURING A PARTICULAR PERIOD PLEASE CHOOSE OFF CAMPUS.
First Period Teacher Name
If you do not have a 1st period please choose OFF CAMPUS
Second Period Teacher Name
If you do not have a 2nd period please choose OFF CAMPUS
Third Period Teacher Name
If you do not have a 3rd period please choose OFF CAMPUS
Fourth Period Teacher Name
If you do not have a 4th period please choose OFF CAMPUS
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