Full-Time Enrollment Form

Technical Help Ticket
Name*

First NameLast Name
Student ID #*
Grade Level*
Student MNPS E-mail (@mnpsk12.org)*
Phone number to contact you if needed?*

Area CodePhone Number
Full Name of Course *
Segment I, Segment II, etc.
Course*
Segment I, Segment II, etc.
Teacher*
Teacher of Course*

Ms./Mrs./Mr./Dr.Last Name
Assignment Name
If issue with specific assignment
What internet browser is being used?*

ChromeInternet ExplorerMicrosoft EdgeMozilla FirefoxSafariOther
What internet browser is being used?*
Firefox, IE, Chrome, etc.
Are you using a school or personal computer?*

SchoolPersonal
If you are on a school computer, what is the location?
What category does your issue fall under?*

LoginAccessing Your Course/OrientationIssue with functions (e.g., Turning in Assignments, Taking Quizzes, etc.)Other
Personal Email for Password Resets*
example@example.com
Please describe your issue in full detail.
Please attach a screenshot of your issue ("PrtScrn" on PC or "Shift+Command+4" on Mac).*

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Technical Help Ticket