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Service Request Form

We look forward to helping you with your service request. Please complete and submit this form. We will respond to your request as soon as possible.

*Full Name:
*Metro State 
E-mail Address:		 (i.e. rowdyr@mscd.edu)
*Phone Number:
*Role: Faculty/Staff Student
*Office Building:
*Office Room #:
*I need assistance from ETC with:
Courses
Faculty & Academic Websites
Non-Academic Websites
Training/Orientation 		Video Shoot / Multimedia
Password Issues
Other
*Course Type: Online Mostly Online / Hybrid On Campus
*Course Subject (e.g. ENG, ACC):
*Course Number (e.g. 1010):
*Course Section (e.g. 001):
*Term (e.g. Fall 2007):
*CRN (e.g. 50000):
*I have already completed the Blackboard (WebCT) Vista Orientation Course. Yes  No  
Maintenance of existing course
Creation of new course
Migration of Blackboard (WebCT) Vista Course
I need special access to an online course
Please Take Note.If you are enrolled in a course as faculty or student and need access to a course because you cannot login, please contact Metro State's helpdesk.

If you need special access to an online course but are not the instructor for it, please provide the following additional information. We will review your request to determine the amount of access to the course you require and provide access accordingly.

Are you a:
Metro State Faculty Member
Metro State Staff Member
Metro State Administrator
Guest Lecturer
Other:

Do you need to create or modify content in the current semester course?
Yes
No

Do you need to view the course from the student (auditor) view only?
Yes
No

Do you need to track students?
Yes
No

Do you need temporary guest access?
Yes
No

Are you designing or updating content for multiple sections?
Yes
No

How long do you need access to the course?
From: To:

Whose permission do you need to have access to the course?
Full Name:
Department:
Title:
Metro State
Email Address:
Other:
This form is for faculty and academic department websites.
Department:
Site URL:
Maintenance of existing website
Creation of new website
Create new or change department/group web account
Request Type: New Group Account
Change to Existing Group Account
Requestor Name:
Department/Group:
Name of Department Chair or Faculty Advisor:
Name of Account Custodian:
Account Custodian Metro State Email:
(This email address must be a @mscd.edu address or the request will not be processed)
Account Custodian Phone Number:
Site Description:
Group Account Name (Must be 2-8 characters, no spaces):
Other:
Request a video shoot
Shoot Date:
Shoot Begin Time:
Shoot End Time:
Request audio or video taping of a class
Request photography
Presenter/s have already given consent to be filmed.
Maintenance on existing audio, video, or multimedia
Creation of new audio, video, or multimedia
Other:
Request more information
Area of interest:
Courses
Websites
Register for training session
Register for Blackboard (WebCT) Vista Orientation
Other:
Other:
I need assistance from the helpdesk
Please Take Note.If you need assistance from the helpdesk (desktop related issues, access to courses via Blackboard Vista or MetroConnect, etc.), please contact the Metro State helpdesk at http://www.mscd.edu/AskIT. ETC is here to provide assistance with all Educational Technology Center issues, but functions separately from the helpdesk.
I have feedback, comments, kudos, or suggestions.
This form is for non-academic department websites.
Department:
Site URL:
Maintenance of existing website
Creation of new website
Create new or change department/group web account
Request Type: New Group Account
Change to Existing Group Account
Requestor Name:
Department/Group:
Name of Department Chair or Faculty Advisor:
Name of Account Custodian:
Account Custodian Metro State Email:
(This email address must be a @mscd.edu address or the request will not be processed)
Account Custodian Phone Number:
Site Description:
Group Account Name (Must be 2-8 characters, no spaces):
Other:
Password issues using the following:
WebCT
MetroConnect
Website
Other:
*900 #:
*I need assistance from ETC with:
MetroConnect / My Courses
Rowdy
Blackboard (WebCT) Vista / Online Course
Password Issues
Other
Course Subject (e.g. ENG, ACC):
Course Number (e.g. 1010):
Course Section (e.g. 001):
CRN (e.g. 50000):
*Description:
I need to send file attachment/s with this request
Please Take Note.If you need to submit any file attachments (.doc, .pdf, etc.) with your service request, please use regular email to submit the attachments to mscdetctask@mscd.edu, along with a brief description of your request so that the attachments can be correlated with the request form ticket.

*Required

 






 
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