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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
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