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Computer Support Request Form
for Faculty & Staff
 (*=required field)

First name

Last name *

    I am a member of The Evergreen State college..

    I am located in *

            My phone extension is *

    My username is *

    My email is *

    My computer is a *

            My operating system is *

    The Washington State ID number of my computer is

    I am having a problem with *

    Please give a detailed description of the problem you are experiencing. *

   

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Last Updated: September 01, 2009


The Evergreen State College

2700 Evergreen Parkway NW

Olympia, Washington 98505

(360) 867-6000