Technology Request Form
Please use this form to submit Technology Requests to the Technology Department. For immediate assistance please contact Kelli Nolen at 386-8001 or Harmony Thompson at 386-8002.
Name
Your answer
Campus
ex. Elementary, Junior High, or High School
Your answer
Room Number
Your answer
Conference Period
Your answer
Phone Extension
Please list your phone extension
Your answer
Description of Issue
Please describe the problem that is occuring
Your answer
Steps Taken to Resolve the Issue
Please list any steps you have taken to resolve the problem (ex. making sure connections are secure, restarting the machine)
Your answer
Serial No. / Model
Please list Serial Number & Model of machine having problems (ex. Dell Optiplex 780, Serial No. 8SKLL9X
Your answer
Type of Machine
Please choose one of the following to describe the machine's classification
Email Address
Please provide your email address
Your answer
Submit
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