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Name
Date (Month, Date, Year)
Email Address
Preferred Method of Communication
Text (Alertmedia)
Phone Call
Email
Other
Type of Device
Loaner Laptop HP (White Top)
Loaner Laptop Lenovo (Black Top)
Personal - Desktop
Personal - Laptop
Personal - Tablet
Other
Select the current issue(s) with the device. Select all that apply:
ADP - Password Reset
Zoom - Connection, Log-In, Meeting Issue
Gmail - Log-In Issue
Google Calendar - Missing Important Date
DocuSign - Document Issue
Other
How would you prefer to resolve this issue?
Virtual - IT Training with Fellow Volunteers (via Zoom)
Virtual - One-on-One Session (via Zoom)
In-Person - One-on-One Session (West LA Campus)
Other
Please list any additional comments or concerns related to the issue with your device:
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