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Student Device Repair Portal - 22/23
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* Indicates required question
Student's First Name
*
Your answer
Student's Last Name
*
Your answer
Who is submitting this request? (First and Last Name)
*
Your answer
Your daytime phone number or email address?
*
Your answer
Relationship to the student?
*
Choose
Parent/Guardian
Teacher/Administrator
Device Type
*
Choose
iPad
Chromebook
From which classroom should we pick up the device?
*
Your answer
Device Number
*
Your answer
Problem with the device?
*
Physical Damage
Power
Frozen or Unresponsive
Device has been lost
Password or App issues
I will leave the device in my classroom in the green bin provided by Hoosier Tech.
*
Yes
Required
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