NAME
SCHOOL Please select 14th Street ECC Alternative @ 14th Adams Baldwin Baldwin North Baldwin South Baldwin West Berrian Board of Education Dewey ECFC Ellington Flinn Stadium Irving Madison Maintenance Monroe Quincy Junior High Quincy Senior High Renewal Security Transportation Washington Other
ROOM NUMBER
PHONE NUMBER/EXTENSION
TYPE OF PROBLEM (CHECK ALL THAT APPLY)
COMPUTER (Please identify which computer using one of the methods below)
a) COMPUTER ID# If possible. Look under the "My Computer" icon on your desktop or right-click "My Computer" and select the "computer name" tab.
b) COMPUTER ID If you can't find the computer name, tell us which computer. For example, "The second one on the right when you enter the room."
PRINTER( Please identify which one below)
Brand name
Location in room
SOFTWARE APPROVAL (Please indicate a company name or website, so we can research the product)
Name of Software Company name or website
SOFTWARE INSTALL (No software will be installed that has not been pre-approved by the technology department. All software licenses/proof of purchase must be sent to the technology department. No personal software will be installed)
Name of Software
On which computers shall it be installed
OTHER
DATE PROBLEM BEGAN
DESCRIBE THE PROBLEM
ANY OTHER INFORMATION THAT MAY BE HELPFUL FOR US TO KNOW
