Student Support Request Form
Student Email
*
example@student.auhsd.us
Student Full Name
*
First Name
Last Name
Student ID Number
*
Which school do you attend?
*
Please Select
1. Anaheim HS / ILC
2. Ball JHS
3. Brookhurst JHS
4. Cambridge Virtual Academy
5. Cypress HS
6. Dale JHS
7. Gilbert HS
8. Hope School
9. Katella HS / IS
10. Kennedy HS / IS
11. Lexington JHS
12. Loara HS
13. Magnolia HS
14. Orangeview JHS
15. Oxford Academy
16. Polaris HS
17. Savanna HS
18. South JHS
19. Sycamore JHS
20. Walker JHS
21. Western HS / ILC
22. NPS
Workorder Email
example@example.com
How may we help you?
*
I need help with my CURRENT school computer or hotspot (technical support only)
I would like a device health-check to purchase insurance
I do NOT have a Chromebook and would like to schedule a pick-up time
I need help with my school account because...
I need help with something else
Device type:
*
Please Select
Chromebook
Hotspot
Laptop
Other
What is wrong with your device?
*
Broken screen
Other physical damage(s)
Not charging
No internet
Lost/Missing/Stolen
Other
Nothing is wrong, I need a device health-check to purchase insurance (Chromebook/Laptop/ZBook ONLY)
Do you have insurance? (Chromebook/Laptop/ZBook only)
Yes
No
Not sure
Device Health-Check checklist
No physical damage
Powers on
No missing keys or other parts
I have a working power cord
I have submitted an incident statement with an administrator/front office staff
Yes
Working on it
No
Please attach any screen shots that would help us serve you
Browse Files
Cancel
of
Additional information that would help us serve you
Parent email address
example@example.com
Submit
Should be Empty: