Parent / Student Technology Support Form
Student Name
*
First Name
Last Name
If we need to contact you, what is the best phone number?
*
Email - Confirmation of your support ticket will be sent to this address
*
example@example.com
Which school does your child attend?
*
Lewis Cass Elementary
Lewis Cass Junior High
Lewis Cass High School
Grade level / Program
*
K-2 (iPad)
3-12 (Chromebook)
I'm having trouble with?
*
My laptop has a hardware/physical issue (Not charging, broken screen, etc)
I'm having trouble with a program or online textbook
Name of the program you having trouble using?
*
Who is your teacher?
*
What is the class name or period?
What is your issue? For the all call system (Bloomz) please list the email and/or phone number. Please provide any error messages
*
Submit
Should be Empty: