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Science and Technology Concerns
Please use this form to report any technology concerns and request any science materials.
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* Indicates required question
Email
*
Your email
Have a NEW STUDENT(s)? Student first name and last name (example: Sonny Sam -123456,Jane Lewis 987654
Your answer
Provide your name
*
Your answer
Provide your room number
*
Your answer
What materials do you need? and how many? Example:( 25 popsicle sticks) 1 item per line please and any more than 3 items please see your science lead
Your answer
What materials do you need? and how many? Example:( 25 popsicle sticks) 1 item per line please and any more than 3 items please see your science lead
Your answer
What materials do you need? and how many? Example:( 25 popsicle sticks) 1 item per line please and any more than 3 items please see your science lead
Your answer
Provide the Alief tag or tech control number.
*
Alief tag 123456 or tech control 123456
Your answer
Provide the type &model number of the equipment.
*
Dell3410 or epson x34
Your answer
Describe your technology concern
*
Your answer
A copy of your responses will be emailed to the address you provided.
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