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PCIS MEDIA CENTER
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Maintenance Work Order Form
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Name
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Last
Email
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Please describe the problem or issue you are having. (Ex. Lights out, chair broken, air conditioner/heater issues, etc.)
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Submit
Technology Problem Form
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Name
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Email
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Select One
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Desktop Computer
Smartboard
Document Camera
Printer
Program (Ex. Flipgrid, Flocabulary, Screencastify)
Other (describe in the comment)
Comment
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Submit
Co-teach/co-plan Lesson Request Form
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Name
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First
Last
Email
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Subject
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Math
Science
Social Studies/History/Civics
English/Language Arts
Other (Describe in the comment section)
Lesson Information
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Please tell me the subject and standard you'd like to co-teach and/or co-plan with the media specialist. Also give the date(s) you'd like to teach the lesson. *Note, you must submit this form at least two weeks in advance.
Submit
Professional Development Request Form
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Name
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First
Last
Email
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Which program would you like to learn more about? (Ex. Flipgrid, Flocabulary, Screencastify, etc.)
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Submit