Tech Support Intake Form
Do you need some help learning how to use technology? Our volunteer tech support team is here to teach you, virtually, from the comfort of your own homes.

This form is designed to give us a sense of what kind of technology support you are looking for. By filling out this form, we are able to do our best to match you appropriately with a volunteer. We are only able to provide support for one issue per session.
First Name *
Last Name *
What is your preferred language to receive support? *
If your preferred language is not available, are you okay to receive support in English? *
What municipality do you live in? *
Phone Number *
Is it safe to leave a voice message? *
Email address *
Do you have wifi/ wireless internet connection? *
What devices do you use? *
Required
Do you know how to join a Zoom call? *
Do you have a camera on your computer? *
Would you prefer to receive support over Zoom or over the phone for your first visit? *
If possible and applicable, please indicate the brand of the device you are seeking support for (for example Apple/Mac Computer, iPhone, Dell Laptop, Samsung Phone, etc) *
What do you need help with/what would you like to learn? (1 issue only per session) *
What days/times are you not available? *
After you receive support, we would like to learn about your experience in order to evaluate this program. What would be the best way for us reach you? *
Is there anything else you want us to know about you?
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy