Items denoted with a red asterisk * are required.
 
 
 
 * Submitted by
 
First Name
M.
Last Name

First Name / Last Name
 
 
 
 * Location
 

Please select a location
 
 
 
 * Room Number/Name
 
 
 
 
 
 
 
 *  
 
What hardware is not working correctly within your classroom?
 
 

If other, please detail
 
 
 
 * Type of Problem
 












Check all that apply
 
 

If other, please detail
 
 
 
 
 
 
Description of Problem
 
 
 
 
 
 
Is your phone working in your room?
 
 
Can you connect your projector up to your computer?
What features need to be changed on the staff laptops?
 
What items pertaining to technology concern you?
 
What issues have you encountered with your new Apple Laptop Computer?
 
What technology issues do you still have outstanding?
 
What websites would you like opened up for EDUCATIONAL purposes?