Correia Middle School

Name:
Email:
Phone:
Room:
Computer Hardware
Platform:	Apple PC
Operating System
Choose one:	Apple OS X Microsoft Windows XP
Mobile Computer Lab
Cart Number:
Laptop Number:
Computer Software
Choose one:	Microsoft Office Other:
Digital Classroom Equipment
Equipment:	Projector Digital Presenter Audio System Other:
Audio Visual Equipment
Equipment:	Audio/Speakers CCTV/Cable Television DVD/VCR Other:
Laser Printer
Printer Model
Toner Replacement	Yes No
Miscellaneous Equipment
Equipment:	Digital Video Camera Digital Camera Other:
Brief Description of Problem: