Student Helpdesk Form

Please complete the form below. Required fields marked with an asterisk *

Please only submit tickets for valid issues.

(All tickets are logged including the IP number where the ticket originated)

Student's Full Name*

Answer required for "Student's Full Name"

Student Email Address (Grades 7 - 12) or Parent Email Address (Grades K - 6)*

Answer required for "Student Email Address (Grades 7 - 12) or Parent Email Address (Grades K - 6)"

Phone Number (including area code)*

Number Required

Student's School*

Answer required for "Student's School"

Mamie Martin Elementary School

Brookhaven Elementary School

Lipsey Middle School

Alexander Jr. High School

Brookhaven High School

Student's Grade Level*

Answer required for "Student's Grade Level"

Which application(s) are you having issues with?*

Answer required for "Which application(s) are you having issues with?"

i-Ready

Canvas

Chromebook Login

Active Parent

Active Student

NWEA (BHS Only)

Other:

In detail, please describe the issues you are having.*

Answer required for "In detail, please describe the issues you are having."

For Brookhaven School District Use Only. (Please do not type in this field)

Answer required for "For Brookhaven School District Use Only. (Please do not type in this field)"

Please fix the highlighted areas below before submitting.