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

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

Answer Required

Phone Number (including area code)*

Number Required

Student's School*

Answer Required

Mamie Martin Elementary School

Brookhaven Elementary School

Lipsey Middle School

Alexander Jr. High School

Brookhaven High School

Student's Grade Level*

Answer Required

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

Answer Required

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

Answer Required

Please fix the highlighted areas below before submitting.