JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Martin Device Repair Form
This form is for High School students having issues with their Chromebook.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Today's Date
*
MM
/
DD
/
YYYY
Student name:
*
Your answer
Student Grade:
*
Choose
9
10
11
12
Device serial number/asset tag: (found on back of the device)
*
Your answer
Please explain in detail the issue with the device:
*
Your answer
Preferred contact method:
*
Phone
Email
Required
Enter contact information here:
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Galesburg-Augusta Community Schools.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report