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ID Number:
Please provide your Banner ID number (e.g. A10012345).
If you do not know this number, please enter "A".
First Name:
Please provide the first name we would have on file for you.
Last Name:
Please provide the first name we would have on file for you.
Email Address:
Please use your @connorsstate.edu email account; however,
if you are experiencing issues with your institutional email,
please provide a personal email address instead.
Phone Number:
Please use a phone number where we may contact you for
additional information.
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Issue Type:
Please select the issue type that most closely matches
what you are experiencing issues with.
Issue Description:
Please be as descriptive as possible.
The more information you can provide, the better we can assist you.
Enter Image Text:
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