Parent/Student Technology Support Request Form
Please complete this form for all technology requests.
Email address *
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 *
Required
Brief Description of Need *
Do you have another ADHUS/FAUHS student in the household that needs tech support? *
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