JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
KOLC Requests
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Site/Location
Your answer
First and Last Name
*
Your answer
What phone number can you be reached at.
*
Your answer
Email Address
*
Your answer
What is the preferred day/time you can be reached to work on this issue:
Your answer
What is the issue/request?
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Oglala Lakota College.
Does this form look suspicious?
Report
Forms
