Student Request for Technical Assistance

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Information About You

         * indicates a required entry.

*First Name

Life Ring

*Last Name

*Email Address

*Daytime Phone
   
Information About Your Request

 

Please select the type of  request.



After selecting  the request type above, an options list will appear in the box below.
 

 



 
Use this box for additional comments.


Then select the best option or use the comments box below.

 

Your Student ID Number (optional)
After selecting the options above, use the comments section to give more specific information if necessary.
This information is extremely helpful in responding to your request for assistance.  Please provide as much of the information below as possible.
  Can you tell us the type of course? 

Course ID: 
Title: 


Online
Web-Required

Instructor:  

Hybrid
          Year:        Semester:  

  Use the comments box above to explain your problem or request in detail, then click SUBMIT.  A member of the Learning
  Technologies team will contact you within one business day.

  Spell the number 4 in the box below.
(This helps us deter spam.)