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User Information
First Name:
Last Name:
UHV Student ID (Username) (e.g.,0123456):
Email Address (e.g., 0123456@uhv.edu):
Alternate Email Address (e.g., someone@gmail.com):
Daytime phone number if you would prefer to be contacted between 8 a.m. and 5 p.m. (e.g., (361) 570-4848):
Course Information
This is a course in the College of:
--- Select a college from list ---
Business
Education & Health Professions
Liberal Arts and Social Sciences
Natural and Applied Science
Course (e.g., BIOL 1320):
OR
Course Title:
Section (e.g., 08123):
Instructor's Name:
Computer Information
Web Browser:
Not sure
Microsoft Edge
Internet Explorer 11
Internet Explorer 10
Internet Explorer 9
Internet Explorer 8
Internet Explorer 7
Firefox 36.0.1
Firefox 17.0.1
Firefox 3.5
Google Chrome
Safari
Other
Operating System:
Not sure
Windows 10
Windows 8
Windows 7
Windows Vista
Mac OS X v10.10 - Yosemite
Mac OS X v10.9 - Mavericks
Mac OS X v10.8 - Mountain Lion
Mac OS X v10.7 - Lion
Other
Problem Description
Date of the problem:
Time of the problem:
Not sure
12
1
2
3
4
5
6
7
8
9
10
11
Minutes:
:00
:15
:30
:45
AM/PM:
--
AM
PM
Please explain the problem.