FTC Help Desk Request

Five Towns College

305 N. Service Rd.
Dix Hills, New York
USA
11746
Phone: 631-424-7000
Fax: 631-656-2172
www.ftc.edu

Date: Describe the problem in detail:

New Existing

Employee Student
Name:

Dept. (Employee)

Job Title (Employee)

E-mail:

Phone:
Cell Phone:
Hardware
Computer Type:

System:
Software
Application:

Version:

Other: Blackboard PASS-PORT Portal E-mail

How to contact you?

FTC Email

Phone

Ideal time to contact you?

Date:
Internal Use Only
Time:
Handled By Hrs. Date
Submit by Email Print Form Reset Form