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Email address Required A valid email address is required.

Phone number or extension Required A phone number or extension is required.

C number Your College ID is a C followed by 8 numbers. Leave this field blank if you don't remember it.

Your Pathway username consists of letters of your name optionally followed by numbers. Leave this field blank if you don't remember it.

Priority Required Low Medium High Critical Please choose the priority that most closely matches your problem or request.

Detailed description of the request or problem Required This form expects your description to be a minimum of 50 characters (about 10 words). If you are seeing this message, please provide us with as much information as possible. A detailed description helps us fufill your request quickly and accurately. Include the instructor's name, room number, and course information if applicable.

Please make sure that this is the best phone and email address for contacting you about your request. A copy of this ticket will be sent to the email address provided.

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