JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Student Technology Support Request
Solicitud de apoyo tecnologico
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Student First Name / Nombre del estudiante
*
Your answer
Student Last Name / Apellido del estudiante
*
Your answer
Parent Phone Number / Número de teléfono de los padres
*
Your answer
Parent Email / correo electrónico de los padres
Your answer
Student Email / correo electrónico del estudiante
Your answer
Device Serial Number / Serial Nomero
Your answer
Problem / problema
*
Internet Hotspot Issues/problemas de Internet Hotspot
Email Password Issue / Problema con la contraseña de correo electrónico
App Issues / problemas de App
Schoology
Other:
Required
Option 1
Clear selection
Details
Your answer
Submitted by / Enviar
*
Parent / los padres
Student / estudiante
Staff / el personal
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of LAUSD.
Report Abuse
Forms
