Problem Submission Form

Request a Service

Request Information
** Mandatory fields are highlighted and preceded by an asterisk
*Summary:
*Description:	Enter a detailed description of your problem and the software or tool on which your problem occurs. (i.e. When I try to take a test in Blackboard 8, using firefox, I do not see a submit button.)

Contact Information
*Drake Email Address		*Drake ID
*Preferred Contact Number		*Selected Role	Select Choice Faculty Staff Student Other

 
Click the SUBMIT button to send your Request. There is no need to reply to this email. You will receive an email confirmation if your Request is successfully registered. Please contact ken.kass@drake.edu if you experience problems using this form.
Be sure to click the submit button only once. A separate Request will be entered each time the button is clicked.