Form
Section 1: Contact Information
Optional: Enter Student ID to pre-fill contact information
Parent/Guardian Name
*
First Name
Last Name
Student Name
*
First Name
Last Name
Grade
*
Please Select
5
6
7
8
9
10
11
12
Best email address for contact
*
example@example.com
Best phone number for support
*
(000)-000-0000
Optional: Is the phone number listed above anyone besides you?
First Name
Last Name
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Section 2: Issue Type
What tech issue are you experiencing?
My chromebook says that my password has been recently changed
My keyboard is typing the wrong letters
My camera or microphone are not working in Zoom
Websites are not loading
I am missing classes from my Google Classroom page
Zoom isn't working
I need to request a Chromebook swap, new charger, or hotspot help
Other
Please describe the issue you are having in your own words. The more details we have, the faster we can reach a solution!
Optional but extremely helpful: Upload a screenshot, photo, or short video of the issue you are facing.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
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Section 3: Self-Help Tracking
Before submitting your request, did you try any of the following?
I used the 🧞♂️TechGenie
I used the HelpHub
I googled the issue on my own
I haven't tried anything yet.
Did any of those steps help you solve the issue?
Yes
No
Would you like to be entered into our Tech Stars raffle for trying to solve the issue yourself?
Yes
No
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Hardware Support
What type of hardware support are you requesting?
I need to swap my Chromebook
I need a replacement charger
I need help with my hotspot/internet access
Do you still have your original Chromebook, charger, or hotspot?
Yes
No
FIRST CHOICE: Please provide us with your preferred date to visit the Shaw Campus to pick up your hardware.
/
Month
/
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
SECOND CHOICE: Please provide us with a second date as a backup to visit the Shaw Campus to pick up your hardware.
/
Month
/
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
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Section 5: Confirmation
How urgent is this issue?
My student cannot access school right now.
The issue is interrupting class, but we can manage until the next break.
The issue is not time-sensitive, we can problem solve at the end of the school day or this week.
Preferred response method
Email
Phone Call
Zoom appointment
Self-Help Method
Self-Resolved
Tech Star Points
Bonus Points
Final Tech Star Points
Submit
Should be Empty: