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Technology Request Form
Please use this form to submit ALL technology requests. Verbal requests MUST also be accompanied by this form.
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* Indicates required question
Name
*
Your answer
Email Address
*
Your answer
Item you need support with
*
Computing Device (Teacher)
Computing Device (Student)
Projector
Document Camera
Copy/ Print Device (Classroom/Personal)
Copy/ Print Device (Public Space)
Request for Additional Equipment, Devices or Peripherals
Other:
Please give a brief description of your request/ issue.
*
(Please provide specific details including: Date, time, quantity, device info, etc.)
Your answer
Location/ Room Number
*
Your answer
Urgency of Request
*
1 - Not Urgent, 2 - Urgent, 3 - Extremely Urgent
Request can be completed over a 24 - 48 hour period
1
2
3
Request needs to be completed within the hour (Please contact the office immediately for "extremely urgent" requests)
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