ANNE M. HOLLAND MEMORIAL LIBRARY

at Our Lady of the Elms High School

Technology Response and Request Form

***Please fill out this form entirely***

[Best Practices] [Acceptable Use Policy] [Elms Home Page]

Date Submitted:

  mm/dd/yy

 Date Needed:

  mm/dd/yy
Name: Building: ES MS/HS Campus
Phone Ext / Room: / Email Address: @theelms.org
Your computer name is: (label on PC)
 		Desktop or Laptop?
Desktop Laptop		 How often does the problem occur?
All the Time    Rarely    Occasionally    N/A

Please select the category for this request:
E-mail
Internet connectivity (i.e. blocked sites, not working right, etc…)
Network (i.e. login, folder space/access, etc…)
Printing
Hardware ( i.e. monitor, Smart Board, keyboard, mouse, LCD projector, etc…)
Software (i.e. not working properly, need software   installed, etc…)
Other

Check these first: (If applicable)

1. Did you turn the computer off, count to 20 and then turn it on again?
Yes             No

2. Did you check that all cables are securely and properly in place?
Yes             No

3. Have you tried on another computer?

Yes, Same Results

Yes, Worked Normally

No, Did Not Try
Please enter a detailed description of the issue as well as applicable error messages.