Service Request

For assistance with this form, call 918-293-5494 or 918-293-5498. Please allow 3 to 4 weeks for most requests. We will contact you if your request will require additional time. If you have additional information you would like to include with this request, please email it to michelle.canan@okstate.edu.

If you see this don't fill out this input box.

Date Needed*

Name*

Job Title*

Department*Department, Program, or School

Phone*

Email*

Institution/Company

StreetAddress if not OSU Institute of Technology

City

State

Zip

Type of Request*

Title of Request*

Request Details*Please provide as many details as possible such as: term(s), year(s), program code, degree-seeking, first-time freshmen, full-time/part-time, etc.

How often will this be required?*

If Other, please specify:

How will this be used?

Will this be shared outside OSUIT?*

Yes

If Yes, with whom?