Parent/Student Technology Support Request Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete this form for all technology requests.

Requestor Name *

Requestor Phone Number *

Student Last Name *

Student First Name *

Student Grade *

Homeroom Teacher (K-8) / 1st Block Teacher (9th grade) / (10 -12 write n/a) *

ADHUS/FAUHS Student Device Type *

How would you best describe your issue? Choose all that apply *

Password Reset (Google, Other Apps)

Software (Issues with applications - Chrome, School Apps, Flash)

Device (Hardware, trouble with device)

ADHUS/FAU Email (Please provide email account in question under brief description)

Internet Connectivity

Other:

Required

Brief Description of Need *

Do you have another ADHUS/FAUHS student in the household that needs tech support? *

Yes

Clear form

Never submit passwords through Google Forms.

This form was created inside of A.D. Henderson University School.

Does this form look suspicious? Report