Proxy Help Request Form

Libraries

This help request form is for Dalhousie Students, Faculty, and Staff only.
One help request per form please.

* Required Information.

* First Name:

* Last Name:

* Banner ID#:

* Net ID:

* Birth Date: (yyyymmdd)

* Email Address:

Telephone:

Other Telephone:

* Status:

* Preference for Responce:

Email:

Phone:

* Internet Service Provider:

* Operating System:

* Browser:

* Title of electronic database/journal you tried:

* Describe the problem. Include a copy of the ERROR MESSAGE(s) if possible: