Student Maintenance Request Form
Full Name
*
First Name
Last Name
Email
*
example@example.com
Building Location
*
Fitzgerald Hall
Combine Center
Baseball Performance Center
Soccer Field
Baseball Field
Carolina Cottage
Clemson Cottage
Combine Commons
Stadium Suites
Victory Villa 1
Victory Villa 2
Victory Villa 3
Victory Villa 4
Victory Villa 5
Victory Villa 6
Whisperwood Place
Other
Room #
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
OTHER
Service Location
*
Classroom
Bathroom
Bedroom
Common Area
Kitchen
Other
Which item is causing the issue?
*
AC/Heating
Bed
Closet
Curtains
Dishwasher
Door
Dresser
Lightbulb/Lightswitch
Microwave
Oven
Refrigerator/Freezer
Stove
Sink
Shower
Smoke Detector
Toilet
TV
Window
Other
Please explain the issue.
*
Ex. Bathroom sink is clogged
Add image (if necessary)
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