KELLOGG MIDDLE SCHOOL
Tech Support Request Form

Building:   * Kellogg Middle School

Room Number:   *

COMPUTER NAME: 

Email Address:   *

Operating System: * CHOOSE ONE Windows 9X Windows NT Windows 2000 Windows XP OTHER

Network Administrator Notified? * YES OR NO YES NO    

Level of Severity: * CHOOSE ONE HIGH MEDIUM LOW
 

1. HIGH:  Significantly obstructs major facets of student learning, or implementation of state mandates for more than one individual or disables critical operation of the school district. I.e. Inability to run district payroll, not able to perform ISAT testing, etc.
2. MEDIUM: Inhibits delivery of instruction, or prevents users ability to perform non instructional duties for more than one individual or significant effects for one individual
3. LOW: Needs attention, but is not critical to the education process. I.e. End user can print, but not to preferred printer, or upgrades to currently operational equipment/software. 

Problem Description: *
Briefly Describe the Problem: Specify any error messages, codes or symptoms below:

  Feel free to print the form result after clicking the submit button.