ITS | Assistance Request Form

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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:

Other

Don't Know

Please select the type of user that best describes you:

Teaching Faculty

Admin. Faculty

Staff

Student

Banner User

Other

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

Where is this machine located?


Office Room #	Lab/Library Terminal#	Dorm Room #	Other

Is this a work stoppage issue?

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.

Software

Hardware

Virus

Printing

Network

Unknown

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

All fields require a response to submit your request.

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Earlham College · 801 National Road West · Richmond, Indiana 47374-4095
Send corrections or comments to webeditor@earlham.edu or Tom Steffes .
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This page last updated: August 20, 2012