Internet Registration Technical Problem Report Form Please enter all information to help locate, track, and resolve the problem you are experiencing. Please be aware that during peak registration times (beginning of the quarter), there may be a delay in the response to your technical problem. What is your full name? (required) If you are a Foothill or DeAnza student, please enter your 8 digit SID. What is your e-mail address? (required) (example: name@email.com, Double check your entry for correctness.) In case we need to talk to you, what is your phone number? (required) (Please include area code, example: (408) 555-4567) Your Location: Off Campus On Campus Your Internet Connection Type: Dial-up Broadband (Cable / DSL) Select Internet service provider: Select ISP AOL Comcast Earthlink Qwest Verizon Yahoo other Computer Type: PC Macintosh Linux/Unix Select your operating system: Select OS Type Windows Mac OS 9 Mac OSX Linux Variants UNIX Variants other Enter your operating system version: (Example: 2000, XP, 9.2, 10.4) Select Brower name*: Select Browser name Internet Explorer Netscape Safari FireFox Mozilla other Enter Browser version: (Example: Internet Explorer 6.0, Netscape 7.0) * Note: The registration system supports Internet Explorer 5 and above, and Netscape 7 and above. You are using the system to: Apply Register Select the quarter and year you are applying or registering for: Select Term Fall Winter Spring Summer Select Year 2005 2006 2007 2008 2009 List other applications running at the time problem occurred: (Example: Norton Anti-Virus, firewall, anti pop-up) Enter error messages received: Enter a detailed description of the problem: Please click button once --- top of page
Please enter all information to help locate, track, and resolve the problem you are experiencing. Please be aware that during peak registration times (beginning of the quarter), there may be a delay in the response to your technical problem.
What is your full name? (required)
If you are a Foothill or DeAnza student, please enter your 8 digit SID.
What is your e-mail address? (required) (example: name@email.com, Double check your entry for correctness.)
In case we need to talk to you, what is your phone number? (required) (Please include area code, example: (408) 555-4567)
Your Location: Off Campus On Campus
Your Internet Connection Type: Dial-up Broadband (Cable / DSL)
Select Internet service provider: Select ISP AOL Comcast Earthlink Qwest Verizon Yahoo other
Computer Type: PC Macintosh Linux/Unix
Select your operating system: Select OS Type Windows Mac OS 9 Mac OSX Linux Variants UNIX Variants other Enter your operating system version: (Example: 2000, XP, 9.2, 10.4)
Select Brower name*: Select Browser name Internet Explorer Netscape Safari FireFox Mozilla other Enter Browser version: (Example: Internet Explorer 6.0, Netscape 7.0) * Note: The registration system supports Internet Explorer 5 and above, and Netscape 7 and above.
You are using the system to: Apply Register
Select the quarter and year you are applying or registering for: Select Term Fall Winter Spring Summer Select Year 2005 2006 2007 2008 2009
List other applications running at the time problem occurred: (Example: Norton Anti-Virus, firewall, anti pop-up)
Enter error messages received:
Enter a detailed description of the problem:
Please click button once ---
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