Middleborough Public Schools
TECHNOLOGY DEPARTMENT

41 Mayflower Avenue, Middleborough, Massachusetts 02346
Website: www.middleboro.k12.ma.us - Phone: 508-946-9559 - Fax: 508-946-2028

MARY K. GOODE TECHNOLOGY REQUEST FORM
Please fill out this form for all Mary K. Goode School computer related requests.

This email will go directly to Cindy DiStefano, Sr. Technician/Webmaster

Name: School: Room:

Date:   Email: Please put email address for any questions we may have. Thank you!

REPAIR REQUEST

MPS 5 Digit Sticker # (located on the side or back of equipment)

Equipment with problems (select one) Other:

 

Description of problem:

TECHNOLOGY REQUEST

Description of request in detail: