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BSE/CHS Technology Request Form (19-20)
Submission of this form immediately sends an email to Cyndi Harbin and adds your request to the list in order of submission.
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* Indicates required question
Email
*
Your email
Room # and Phone Extension
*
Your answer
Name
*
Your answer
School
*
Choose
Blue Springs Elementary
Clements High School
Request Type
*
Teacher Computer (Please Note if it is a Mac or PC)
Student Computer (Please Note if it is a Mac or Chromebook)
iPad
Stand Alone Printer (at your desk)
Network Printer
Copier
Projector
Software
Website
Phone Issues (Please Provide Mac Address and Phone Extension)
Internet
Social Media
Other:
Description
*
Please provide as many details as possible (include model # & Service Tag of computer - Please Specify if it is a Mac or PC)
Your answer
Computer Model, Service Tag (pc) or Asset Tag(Mac)
*
Your answer
Phone Issues (Provide Mac Address: Press OK on phone to list Mac Address)
Your answer
A copy of your responses will be emailed to the address you provided.
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