Remote Learning Technology Support Request
PLEASE DO NOT USE THIS FORM TO REQUEST A CHROME BOOK.  
TO REQUEST A DEVICE, GO TO THIS LINK:  https://tinyurl.com/PUSDDEVICE

Once you submit a request, Pleasanton Unified School District staff will contact you within 1-2 business days to assist with your technical issue.  If you have already submitted a request, please do not submit another one, as duplicate requests delay our processing time.

크롬 북을 요청하기 위해이 양식을 사용하지 마십시오.
장치를 요청하려면이 링크로 이동하십시오 : https://tinyurl.com/PUSDDEVICE.

POR FAVOR NO USE ESTE FORMULARIO PARA SOLICITAR UN CHROMEBOOK PARA SOLICITAR UN APARATO, VAYA A ESTE ENLACE:  https://tinyurl.com/PUSDDEVICE ，

请不要使用此表格申请电脑。申请电脑设备，请转到此链接：https://tinyurl.com/PUSDDEVICE
Sign in to Google to save your progress. Learn more
Email *
Name of the person completing the application *
요청자 이름. Nombre de la persona que completa la solicitud，申请人姓名
First Name of Student *
학생이름 Nombre del estudiante，学生名
Last Name of Student *
학생 성 Apellido del estudiante，学生姓氏
Student ID (aka Lunch) Number
아이디 번호 Número de identificación de estudiante，学生学号
PUSD Email Address for Student
 학생 PUSD 이메일 Correo electrónico del estudiante de PUSD，学生学校邮箱
Phone Number
전화번호 Número de teléfono，电话号码
School Site *
학교 Escuela，就读学校
Student Grade *
학년 Grado，就读年级
What do you need help with?  Please describe your issue. *
문제를 제시하십시오 ¿Con qué necesitas ayuda? Por favor, describa su problema.，你有什么需要帮助的？请描述您的问题。
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Pleasanton Unified School District. Report Abuse
Google Forms