Contact Information

*First Name:

*Last Name:

Mercy Connect User Name:
(if available)

Enter your Mercy Connect user name if available.

CWID:

Enter your Mercy College CWID (Campus Wide ID)

*E-mail Address:

Format:abc@xyz.com

Telephone Number (Residence) & Available Time Range:

From
hh ---- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 mm ---- 00 15 30 45  

To
hh ---- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 mm ---- 00 15 30 45  

Enter your home telephone number, e.g. 914-674-7270. Select the time range when you are available at this number.

Telephone Number (Office) & Available Time Range:

x.

From
hh ---- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 mm ---- 00 15 30 45  

To
hh ---- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 mm ---- 00 15 30 45  

Enter your work telephone number, e.g. 914-674-7270, and extension number if applicable. Select the time range when you are available at this number.

Telephone Number (Cell):

Enter your cell telephone number if you have one, e.g. 914-674-7270.

Computer Information

Operating System:

Select one Windows 95 Windows 98 Windows Me Windows NT Windows 2000 Windows XP Windows Vista MacOS Linux Other

Select your operating system. If you use Windows and are not sure of its version, click Start, and read the complete operating system name in the blue bar on the left side.

Browser Name and Version:

Select one Internet Explorer 5.5/6 Internet Explorer 7.0 Firefox Netscape AOL Other

Select the Internet browser that you use*.
*If you are not sure about the version number of the Internet browser that you use, start it, click Help, and then click About to learn the version number.
Internet Explorer users: If your browser version is lower than 5.5 SR2, click here to upgrade first.
Firefox Users: Click here to download.
Netscape users: If your browser version is lower than 4.7, click here to upgrade first.
AOL users: If your browser version is lower than 5.0, click here to upgrade first.

Problem Information

*Problem Category:

Select one Login Failure Mercy Connect Blackboard School Services Campus Life E-mail Calendar User Options Help Section Other

Select the closest problem category. If none of the listed categories match your problem, select Other.

*Problem Subcategory:

Select one

Select the closest problem subcategory. If none of the listed categories match your problem, select Other.

*Problem Description: