JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Public School 361 - Technology Support Request Form
Please allow at least 2 school days for your request to be addressed
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Email
*
Please use your entire DOE email address (
JDoe@schools.nyc.gov
)
Your answer
Date
*
MM
/
DD
/
YYYY
Equipment Information - Location
*
Your answer
Make
*
Choose
Apple
Lenovo
Lexmark
Toner Cartridges
Smart Technology
Other - Explain Below
Type of Equipment *
*
Choose
Computer
Laptop
Monitor
Printer
iPad
Smartboard / Projector
Other - Explain Below
If student device go to Student Device Information
Please Input DOE Asset Tag and/or Serial Number
*
Your answer
Problem Type
*
Choose
No wiFi - Internet
Projector Bulb
Software installed / Updated
Can't Print - Paper Jam
Device Won't Turn on
Other - Explain in description box
Description of Problem
*
Your answer
Student Device Information
Student Name, DOE-Asset Tag and Serial Number
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of NYC Department of Education.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report