Course Cleanup Request Form
Submit a request to clean up, archive, or remove content from a course. Please provide all required details for efficient processing.
Your Full Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Your Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Role/Relationship to the Course
*
Please Select
Instructor
Teaching Assistant
Student
Course Administrator
Other
Course Name
*
Course ID or Code (if applicable)
Course Instructor Name
Type of Cleanup Requested
*
Full course removal
Archive course content
Remove student data
Update course materials
Other (please specify)
Reason for Cleanup Request
*
Preferred Cleanup Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Upload Supporting Documents (if any)
Upload a File
Drag and drop files here
Choose a file
Cancel
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Additional Comments or Instructions
Submit Request
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