Portland Public Schools
Portland, Oregon

Jefferson High School

Middle College for Advanced Studies

School of Champions

5210 N Kerby | Portland, OR 97217
Phone: (503) 916-5180 | Fax: (503) 916-2698

Computer Help Request

Computer Problem Report

This form is provided as a convenient way for you to inform me of computer problems when I am not working. Please remember that the more specific you are about the problem, the faster I am able to identify and correct the problem.

Date: Phone #:
Name: Room #:
E‑mail: Computer #:
Please describe the problem you've encountered. Be very specific, Ex: copy the error message, what noises did it make, when did the problem start, what applications were you using when the problem happened?
What have you tried? Ex: Restarted computer, checked USB keyboard and mouse cable, checked power cables, checked Ethernet cables