Classroom Technology Checklist Form
Use this form to record technology readiness and setup for your classroom. Please complete all sections for accurate tracking.
School Name
*
Classroom Number or Location
*
Date of Checklist
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Checked By (Name)
*
First Name
Last Name
Device or Room Type
*
Please Select
General Classroom
Computer Lab
Science Lab
Library
Other
Technology Items Checklist
*
Rows
Present & Working
Present but Needs Attention
Missing/Not Working
Projector
1
2
3
Smart Board
4
5
6
Teacher Computer
7
8
9
Student Devices
10
11
12
Speakers/Audio System
13
14
15
Internet Connection
16
17
18
Additional Technology Items (not listed above)
Describe Any Issues Found
Urgency of Follow-Up Needed
*
No Follow-Up Needed
Low
Medium
High
Recommended Next Steps or Comments
Submit Checklist
Should be Empty: