Wendell School District #232
Technology Request Form
Date
*
-
Month
-
Day
Year
Date
Name of Requester
*
Contact information
Building
*
Elementary School
Middle School
High School
District Office
Room #
*
Email address
*
example@example.com
Extension
Problem category
*
Hardware
Software
Email
Connectivity
PowerSchool
Other
Description of problem
*
Suspected cause of problem (e.g., "I dropped my laptop")
Upload Screenshot (if applicable)
Browse Files
Cancel
of
Administrative Section
Administrative Approval
Approved
Yes
No
Needs More Information
Assigned Tech
Steve Smith
Martin Shirley
Shirley Montgomery
Assigned Tech
Steve Smith
Martin Shirley
Shirley Montgomery
Referred Staff (More Information)
Paula Chapman
Brian Jadwin
Justin Alsterlund
Bernadette Chandler
Jay Thurber
Troy Fletcher
Tim Perrigot
Severity of issue
Urgent
Medium priority
Low priority
Request for more Information
Reply for more Information
Resolution
Current Status
Received
Assigned
In Process
On Hold
Waiting on Purchase Order
Completed
Submit
Should be Empty: