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HSES Remote Learning Tech Support Form
If there is a Technology related issue with an HSES loaned Device, please reach out to:
AP Lipkowitz -
Michael.Lipkowitz@envirostudies.org
Arnold Flores -
Arnold.flores@envirostudies.org
Brian Malin -
Brian.Malin@envirostudies.org
Your Request will be processed within 24 hours of submission.
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* Indicates required question
Student Email (envirostudies or other school email)
*
Your answer
Student Last name
*
Your answer
Student First Name
*
Your answer
STUDENT OSIS #
*
Your answer
Parent/Guardian Name
*
Your answer
Parent/Guardian Email
*
Your answer
Parent/Guardian Phone Number
*
Your answer
Are You an HSES Student?
*
yes
No
Required
If not an HSES Student, which school do you attend?
*
Your answer
Product/Service Device type
*
Laptop (Chromebook)
Laptop (Lenovo, HP, or Other Windows PC)
Keyboard/Mouse/Web Cam
Wifi Connection problem
Ipad / Tablet
Other:
Required
Summary - Describe the problem (please indicate the brand and model # of the device)
*
Your answer
Date for next use of technology
MM
/
DD
/
YYYY
Any additional comments or details
Your answer
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