Resident Room Repair Request

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Work Request Status:
New Request
In progress
Completed
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Tell us your name!* This field is required.
First Name
Last Name
3
What is your YC scholar email address?* This field is required.
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What is your Y#?* This field is required.(It's conveniently located on your student ID)
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Which Hall do you live in?* This field is required.
Marapai
Kachina
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What is your room #?* This field is required.
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So, there is a maintenance issue in your room?* This field is required.Please provide a detailed explanation of the issue. The more information you give us, the easier it will be to help you!
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Picture time!If possible, please upload us a picture of the issue so we can better inform the facilities crew of your needs! You can mark up the image in order to highlight the problem.
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What is your phone number?* This field is required.
Area Code
Phone Number
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Can Residence Life text you with updates on the progress of your repair request?* This field is required.
YESNO
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Can Residence Life text you with important updates regarding your housing?* This field is required.Ex: Deadlines, pending charges etc.
YESNO
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By submitting this Room Repair Request, I grant staff permission to enter my room to conduct the necessary repair. * This field is required.
Should be Empty: