Technology and Computer Help and/or Repair Form
The purpose of this form is to enable you to communicate problems you are having with a computer or other form of technology belonging to the school in your classroom. It is also meant to ensure that basic problem-solving techniques have been applied.
Last Name *
Your answer
First Name *
Your answer
Cell phone # *
Sometimes we will need to contact you to verify password information or other information.
Your answer
Email *
Your answer
Location of equipment. *
Classroom # or Lab Computer #.
Your answer
Device you are having problems with. *
Example: Laptop, Desktop, Projector.
Your answer
Describe the problem you are having? *
Your answer
Did you do anything that could have caused the problem to occur? *
If so, what? Please describe.
Your answer
What steps have you taken to solve this problem?
Check all that apply!
Even with this problem, how well can you get your work done. *
In other words, is this problem so distracting that you can't get any work done. OR is it just annoying?
I'm utterly stuck.
I'll get by.
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