Parent/Student Technology Support Request Form
Please complete this form for all technology requests.
* Required
Email address
*
Your email
Requestor Name
*
Your answer
Requestor Phone Number
*
Your answer
Student Last Name
*
Your answer
Student First Name
*
Your answer
Student Grade
*
Choose
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Homeroom Teacher (K-8) / 1st Block Teacher (9th grade) / (10 -12 write n/a)
*
Your answer
ADHUS/FAUHS Student Device Type
*
Choose
iPad
Chromebook
Laptop
Other
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
*
Your answer
Do you have another ADHUS/FAUHS student in the household that needs tech support?
*
Yes
No
Next
Never submit passwords through Google Forms.
This form was created inside of A.D. Henderson University School.
Report Abuse
Forms