Gardenview Elementary
Technology Work Request Form
|
School: |
Gardenview |
Date: |
|
Room # |
|
Client Name: |
|
Signature: |
|
Location of Equipment and Model/Serial Number: |
|
|
|
|
|
|
|
|
|
Please check the item(s).
Computer |
|
|
Television |
|
Printer |
|
|
E-Mail |
|
Scanner |
|
|
Internet |
|
Projector |
|
|
Ink (type) |
|
Phone |
|
|
Other |
|
Network |
______ |
|
Other |
|
Description of Problem: _________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
|
All requests must be put in at least one day in advance.
There is no problem. I would like to request the following item(s) to use on the following date(s).
MCS ID SERIAL #
Digital Projector _______ _______________ ________________
Digital Camera ________ _______________ ________________
Digital Camcorder______ _______________ _________________
Mobile Lab ___________ _______________ _________________
Laptop _______________ _______________ _________________
Calculator(s) __________ _______________ _________________
|
