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Parent Technology Support Request Form
This request form is for parents/guardians who's child is having issues with a School Provided Device.
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* Indicates required question
Student Name
*
Your answer
Parent/Guardian Name
*
Your answer
Parent/Guardian Contact Information
*
Your answer
School Site
*
Choose
Primary South
Central
Middle School
High School
Student Grade Level
*
Choose
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
Student's Teacher/ Advisor
*
Your answer
Device Type
*
Chromebook
Ipad
Mifi
Description of Issue:
Your answer
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