Technology Request Form

Your Name, Last / First*
e-mail address*
What kind of equipment are you reporting?*
- Laptop
- Desktop
- iPad
- Smart Board
- Software
- Network
- Other
Building*
At which school is the equipment located?
Location of Equipment*
Which room is the equipment located in?
Planning Period Time (Ex: 3rd Period 10:45-11:45
Please describe the problem that you are having with as much detail as possible.*
Please describe the problem that you are having with as much detail as possible.
Urgency:

Camden County Schools

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174 North Highway 343, Camden, NC 27921

252-335-0831