Welcome, You are on your way to publishing your web survey!
Complete the form to submit a request for administrative access to create and publish a survey in Checkbox. When you click submit, the request will forward to the appropriate ITS staff member. Once fulfilled, you will receive a follow up email message. We generally fulfill requests as soon as possible, however, it may take 2-3 days.
What is your full name?
*Enter your Clark University email address
*I am a ____ at Clark
*What is the primary purpose of the survey you wish to create?
Please select the option that best fits with the purpose of your survey.