Student Tech Request

Student Name *

First

Last

Teacher Name *

School Name *

Parent/Guardian Name *

First

Last

Email *

Phone Number *

Equipment Type *

Windows 10 Model: *

Mac Model: *

Please describe "other equipment" *

Please describe the problem you are having:

Help Desk hours are 8am to 4pm. If you are not available during these hours, please specify an “after time” that you may be reached.

Do you require a call back after 4PM?

Please specify your preferred contact time: *

Name

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