Earlham College

Information Technology Services (ITS)

Earlham College

Assistance Request Form

Please fill out the following fields as completely and accurately as possible. All faculty, staff, and student users of Earlham College may use this form.

Your Name:
Your Email Address: eg (dogbert@earlham.edu)

Your Phone #:

eg (765)983-1200
Your Operating System:
Don't Know


Please select the type of user that best describes you:

Teaching Faculty Admin. Faculty Staff
Banner User


Is this machine owned by Earlham College?


Is the computer a Desktop or Laptop?

Yes, Earlham owns this computer
No, Earlham does NOT own this computer
Desktop Laptop Tablet


Where is this machine located?

Office Room # Lab/Library
Dorm Room # Network Jack # Other


Is this a work stoppage issue?

No Yes


General Nature of Your Problem:

Please select one category that best describes the kind of problem you are experiencing. If you believe your problem relates to more than one category, please select unknown and describe your problem in as much detail as possible below.









Please explain your problem in detail (include any error messages):


All fields require a response to submit your request.

Earlham Home ITS Home Site Index

Earlham College 801 National Road West Richmond, Indiana 47374-4095
Send corrections or comments to webeditor@earlham.edu or Tom Steffes .
Copyright Information

This page last updated: August 20, 2012