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

MECC TECHNOLOGY REQUEST FORM
Please fill out this form for all Memorial Early Childhood Center 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: