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Digital TIS Service Order Form v2.1beta
(ServiceOrder2005ELE.doc
- 83Kb)
SERVICE ORDER FORM
Waterfront Elementary
TIS: Ken Fuller - Room 104
Name |
|
Date Requested |
10/5/2005 |
Grade Level and Content Area |
|
Room number (if applicable) |
|
Type(s) of service and or support requested:
HARDWARE RELATED (Please check all that apply)
Computer |
Copier/printer |
ACTIVboard |
TV/VCR/DVD |
Presentation Equipment |
Other |
Network Related |
Telephone System |
|
Describe the problem or need. (ex. I need mice for my iMacs)
What were you doing when the problem started? (ex. I was trying to print when…)
What have you tried so far?
|
|
|
|
SOFTWARE RELATED
Please be specific (ex. Microsoft Word crashes when I try to save or print a document)
|
|
|
|
INSTRUCTIONAL SUPPORT (Please check all that apply)
Long-term project |
One-to-one instruction (teacher) |
One-to-one instruction (student) |
Technology integration |
Small group (teachers) |
Small group (students) |
|
Large group (teachers) |
Large group (students) |
IMPORTANT: If you are requesting instructional support for students, YOU MUST include the total number of students, a copy of your lesson plan and/or project outline, assessment rubric (if applicable), day(s) that you need support, and web sites (if applicable).