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Bridgeway Customer
Bridgeway Staff
Charter Customer
Charter School Staff
Curriculum Express Customer
Elephango Customer
<div class="control-group ticket_section"> <label class=" control-label cf_phone_number_981591-label " for="helpdesk_ticket_cf_phone_number_981591">Phone Number</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_phone_number_981591]" id="helpdesk_ticket_custom_field_cf_phone_number_981591" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_student_id_981591-label " for="helpdesk_ticket_cf_student_id_981591">Student ID</label> <div class="controls "> <input class=" number section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_student_id_981591]" id="helpdesk_ticket_custom_field_cf_student_id_981591" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_student_name_981591-label " for="helpdesk_ticket_cf_student_name_981591">Student Name</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_student_name_981591]" id="helpdesk_ticket_custom_field_cf_student_name_981591" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_platform618814_981591-label " for="helpdesk_ticket_cf_platform618814_981591">Platform</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_platform618814_981591]" id="helpdesk_ticket_custom_field_cf_platform618814_981591"><option value="">...</option> <option data-id="43001136873" value="Blended LMS">Blended LMS</option> <option data-id="43001136874" value="Classlink">Classlink</option> <option data-id="43001136875" value="Creativity Express">Creativity Express</option> <option data-id="43001136876" value="Edgenuity">Edgenuity</option> <option data-id="43001136877" value="Elephango">Elephango</option> <option data-id="43001344677" value="Galileo">Galileo</option> <option data-id="43001136879" value="Microsoft Login / BLC Login">Microsoft Login / BLC Login</option> <option data-id="43001136880" value="Moodle">Moodle</option> <option data-id="43001136881" value="Mr. D">Mr. D</option> <option data-id="43001136882" value="Odysseyware">Odysseyware</option> <option data-id="43001136885" value="Physical Materials">Physical Materials</option> <option data-id="43001136886" value="Rosetta Stone">Rosetta Stone</option> <option data-id="43001136887" value="Sales Inquiry / Issue">Sales Inquiry / Issue</option> <option data-id="43001466342" value="Finance">Finance</option> <option data-id="43001136888" value="Zoom">Zoom</option> <option data-id="43001136889" value="Other">Other</option></select> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_select_an_issue162427_981591-label " for="helpdesk_ticket_cf_select_an_issue162427_981591">Select an issue</label> <div class="controls nested_field "> <select class=" required nested_field section_field" id="helpdesk_ticket_custom_field_cf_select_an_issue162427_981591_43000836270" name="helpdesk_ticket[custom_field][cf_select_an_issue162427_981591]"><option value="">...</option> <option value="I'm having trouble logging in">I'm having trouble logging in</option> <option value="I'm having trouble with a course(s)">I'm having trouble with a course(s)</option> <option value="I'm having trouble with an order or enrollment">I'm having trouble with an order or enrollment</option> <option value="I need device/hardware support">I need device/hardware support</option> <option value="I have a question about billing">I have a question about billing</option> <option value="I have a question about a shipment">I have a question about a shipment</option> <option value="I have a customer satisfaction issue">I have a customer satisfaction issue</option> <option value="I have a question or issue that is not listed here.">I have a question or issue that is not listed here.</option></select><div class="level_2"><label class="required">Select issue details</label><select class=" required nested_field section_field" id="helpdesk_ticket_custom_field_cf_select_issue_details448083_981591_43000836270" name="helpdesk_ticket[custom_field][cf_select_issue_details448083_981591]"><option value="">...</option> </select></div><script> //<![CDATA[ jQuery('#helpdesk_ticket_custom_field_cf_select_an_issue162427_981591_43000836270').nested_select_tag({"data_tree":[["I'm having trouble logging in","I'm having trouble logging in",[["I don't know my username and password","I don't know my username and password",[]],["My username or password is not working","My username or password is not working",[]],["I'm getting an error","I'm getting an error",[]],["Other","Other",[]]]],["I'm having trouble with a course(s)","I'm having trouble with a course(s)",[["I don't understand what to do","I don't understand what to do",[]],["Something was marked wrong that should have been correct","Something was marked wrong that should have been correct",[]],["I'm getting an error","I'm getting an error",[]],["The content is wrong or missing","The content is wrong or missing",[]],["Other","Other",[]]]],["I'm having trouble with an order or enrollment","I'm having trouble with an order or enrollment",[["I'm getting an error","I'm getting an error",[]],["I can't find what I'm looking for","I can't find what I'm looking for",[]],["I want to enroll more than one student","I want to enroll more than one student",[]],["I want to change my order","I want to change my order",[]],["When will I receive my order?","When will I receive my order?",[]],["Other","Other",[]]]],["I need device/hardware support","I need device/hardware support",[["I am getting an error on my computer","I am getting an error on my computer",[]],["My application is frozen","My application is frozen",[]],["I have a question about technical requirements","I have a question about technical requirements",[]],["Other","Other",[]]]],["I have a question about billing","I have a question about billing",[["I want to change payment methods","I want to change payment methods",[]],["I see an error on my bill","I see an error on my bill",[]],["I want to withdraw or drop a course","I want to withdraw or drop a course",[]],["Other","Other",[]]]],["I have a question about a shipment","I have a question about a shipment",[["When will my shipment arrive","When will my shipment arrive",[]],["I am missing something from my order","I am missing something from my order",[]],["I want to order something else or exchange an item","I want to order something else or exchange an item",[]],["Other","Other",[]]]],["I have a customer satisfaction issue","I have a customer satisfaction issue",[["I have questions about the program","I have questions about the program",[]],["I need someone to call me","I need someone to call me",[]],["I have a suggestion","I have a suggestion",[]],["I have a concern","I have a concern",[]],["Other","Other",[]]]],["I have a question or issue that is not listed here.","I have a question or issue that is not listed here.",[["I have a question about the programs available","I have a question about the programs available",[]],["I need assitance enrolling/re-enrolling","I need assitance enrolling/re-enrolling",[]],["Other","Other",[]]]]],"initValues":null,"disable_children":false,"include_blank":"...","selected":null,"pl_value_id":"43000836270","subcategory_id":"helpdesk_ticket_custom_field_cf_select_issue_details448083_981591_43000836270"}); //]]> </script> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_is_this_for_a_student_in_the_independent_program589810_981591-label " for="helpdesk_ticket_cf_is_this_for_a_student_in_the_independent_program589810_981591">Is this for a student in the Independent Program?</label> <div class="controls "> <select class=" dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_is_this_for_a_student_in_the_independent_program589810_981591]" id="helpdesk_ticket_custom_field_cf_is_this_for_a_student_in_the_independent_program589810_981591"><option value="">...</option> <option data-id="43001136911" value="Yes">Yes</option> <option data-id="43001136912" value="No">No</option></select> </div> </div>
<div class="control-group ticket_section"> <label class=" control-label cf_course_id_981591-label " for="helpdesk_ticket_cf_course_id_981591">Course ID (If Applicable):</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_course_id_981591]" id="helpdesk_ticket_custom_field_cf_course_id_981591" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_student_id_981591-label " for="helpdesk_ticket_cf_student_id_981591">Student ID</label> <div class="controls "> <input class=" number section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_student_id_981591]" id="helpdesk_ticket_custom_field_cf_student_id_981591" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_student_name_981591-label " for="helpdesk_ticket_cf_student_name_981591">Student Name</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_student_name_981591]" id="helpdesk_ticket_custom_field_cf_student_name_981591" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_category_981591-label " for="helpdesk_ticket_cf_category_981591">Platform</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_category_981591]" id="helpdesk_ticket_custom_field_cf_category_981591"><option value="">...</option> <option data-id="43000836274" value="Blended LMS">Blended LMS</option> <option data-id="43001136890" value="Classlink">Classlink</option> <option data-id="43001299612" value="Company Laptop">Company Laptop</option> <option data-id="43001136891" value="Creativity Express">Creativity Express</option> <option data-id="43001299618" value="Curriculum Express">Curriculum Express</option> <option data-id="43001300152" value="Edovate">Edovate</option> <option data-id="43001136892" value="Edgenuity">Edgenuity</option> <option data-id="43001136893" value="Elephango">Elephango</option> <option data-id="43001346384" value="Galileo">Galileo</option> <option data-id="43001136895" value="Internal Technical Issues">Internal Technical Issues</option> <option data-id="43001136896" value="Microsoft Login / BLC Login">Microsoft Login / BLC Login</option> <option data-id="43001136897" value="Moodle">Moodle</option> <option data-id="43001136898" value="Mr. D">Mr. D</option> <option data-id="43001136899" value="Odysseyware">Odysseyware</option> <option data-id="43001303076" value="Office 365">Office 365</option> <option data-id="43001136902" value="Physical Materials">Physical Materials</option> <option data-id="43001136903" value="Rosetta Stone">Rosetta Stone</option> <option data-id="43001136904" value="Sales Inquiry / Issue">Sales Inquiry / Issue</option> <option data-id="43001466341" value="Finance">Finance</option> <option data-id="43001136905" value="Zoom">Zoom</option> <option data-id="43001136906" value="Other">Other</option></select> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_this_ticket_is_on_behalf_of_981591-label " for="helpdesk_ticket_cf_this_ticket_is_on_behalf_of_981591">Ticket is on behalf of:</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_this_ticket_is_on_behalf_of_981591]" id="helpdesk_ticket_custom_field_cf_this_ticket_is_on_behalf_of_981591"><option value="">...</option> <option data-id="43001136907" value="Myself">Myself</option> <option data-id="43001136908" value="My Student(s) and/or Families">My Student(s) and/or Families</option></select> </div> </div> <div class="control-group ticket_section"> <div class="controls"> <label class="checkbox "> <input name="helpdesk_ticket[custom_field][cf_this_ticket_is_urgent_981591]" type="hidden" value="0" /><input class=" checkbox section_field" id="helpdesk_ticket_custom_field_cf_this_ticket_is_urgent_981591_43000836271" type="checkbox" value="1" name="helpdesk_ticket[custom_field][cf_this_ticket_is_urgent_981591]" /> This ticket is Urgent </label> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_is_this_for_a_student_in_the_independent_program_981591-label " for="helpdesk_ticket_cf_is_this_for_a_student_in_the_independent_program_981591">Is this for a student in the Independent Program?</label> <div class="controls "> <select class=" dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_is_this_for_a_student_in_the_independent_program_981591]" id="helpdesk_ticket_custom_field_cf_is_this_for_a_student_in_the_independent_program_981591"><option value="">...</option> <option data-id="43001136909" value="Yes">Yes</option> <option data-id="43001136910" value="No">No</option></select> </div> </div>
<div class="control-group ticket_section"> <label class=" control-label cf_phone_number544527_981591-label " for="helpdesk_ticket_cf_phone_number544527_981591">Phone Number</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_phone_number544527_981591]" id="helpdesk_ticket_custom_field_cf_phone_number544527_981591" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_student_id868711_981591-label " for="helpdesk_ticket_cf_student_id868711_981591">Student ID</label> <div class="controls "> <input class=" number section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_student_id868711_981591]" id="helpdesk_ticket_custom_field_cf_student_id868711_981591" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_student_name964280_981591-label " for="helpdesk_ticket_cf_student_name964280_981591">Student Name</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_student_name964280_981591]" id="helpdesk_ticket_custom_field_cf_student_name964280_981591" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_platform662348_981591-label " for="helpdesk_ticket_cf_platform662348_981591">Platform</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_platform662348_981591]" id="helpdesk_ticket_custom_field_cf_platform662348_981591"><option value="">...</option> <option data-id="43001136837" value="Blended LMS">Blended LMS</option> <option data-id="43001136841" value="Elephango">Elephango</option> <option data-id="43001136843" value="Microsoft Login / BLC Login">Microsoft Login / BLC Login</option> <option data-id="43001136844" value="Moodle">Moodle</option> <option data-id="43001136845" value="Mr. D">Mr. D</option> <option data-id="43001136849" value="Physical Materials">Physical Materials</option> <option data-id="43001136851" value="Sales Inquiry / Issue">Sales Inquiry / Issue</option> <option data-id="43001136852" value="Zoom">Zoom</option> <option data-id="43001136853" value="Other">Other</option></select> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_select_an_issue_981591-label " for="helpdesk_ticket_cf_select_an_issue_981591">Select an issue</label> <div class="controls nested_field "> <select class=" required nested_field section_field" id="helpdesk_ticket_custom_field_cf_select_an_issue_981591_43001112460" name="helpdesk_ticket[custom_field][cf_select_an_issue_981591]"><option value="">...</option> <option value="I'm having trouble logging in">I'm having trouble logging in</option> <option value="I'm having trouble with a course(s)">I'm having trouble with a course(s)</option> <option value="I'm having trouble with an order or enrollment">I'm having trouble with an order or enrollment</option> <option value="I have a question a shipment">I have a question a shipment</option> <option value="I have a question about billing">I have a question about billing</option> <option value="I have a question or issue that is not listed here.">I have a question or issue that is not listed here.</option></select><div class="level_2"><label class="required">Select Issue Details</label><select class=" required nested_field section_field" id="helpdesk_ticket_custom_field_cf_select_issue_details_981591_43001112460" name="helpdesk_ticket[custom_field][cf_select_issue_details_981591]"><option value="">...</option> </select></div><div class="level_3"><label class="required">Additional Details</label><select class=" required nested_field section_field" id="helpdesk_ticket_custom_field_cf_select_product826990_981591_43001112460" name="helpdesk_ticket[custom_field][cf_select_product826990_981591]"><option value="">...</option> </select></div><script> //<![CDATA[ jQuery('#helpdesk_ticket_custom_field_cf_select_an_issue_981591_43001112460').nested_select_tag({"data_tree":[["I'm having trouble logging in","I'm having trouble logging in",[["I don't know my username and password","I don't know my username and password",[]],["My username or password is not working","My username or password is not working",[]],["I'm getting an error","I'm getting an error",[]],["Other","Other",[]]]],["I'm having trouble with a course(s)","I'm having trouble with a course(s)",[["I don't understand what to do","I don't understand what to do",[]],["Something was marked wrong that should have been correct","Something was marked wrong that should have been correct",[]],["I'm getting an error","I'm getting an error",[]],["The content is wrong or missing","The content is wrong or missing",[]],["Other","Other",[]]]],["I'm having trouble with an order or enrollment","I'm having trouble with an order or enrollment",[["I'm getting an error","I'm getting an error",[]],["Class(s) are missing","Class(s) are missing",[]],["I want to change my order","I want to change my order",[]],["When will I receive my order?","When will I receive my order?",[]],["Other","Other",[]]]],["I have a question a shipment","I have a question a shipment",[["I am missing something from my order","I am missing something from my order",[]],["I want to order something else","I want to order something else",[["All orders must be placed using the system provided by your charter school. Please visit your school's ordering system or reach out to your charter school contact for information on placing an additional order.","All orders must be placed using the system provided by your charter school. Please visit your school's ordering system or reach out to your charter school contact for information on placing an additional order."]]],["When will my shipment arrive","When will my shipment arrive",[]],["Other","Other",[]]]],["I have a question about billing","I have a question about billing",[["Please contact finance@bridgewayacademy.com with any billing questions or changes.","Please contact finance@bridgewayacademy.com with any billing questions or changes.",[]]]],["I have a question or issue that is not listed here.","I have a question or issue that is not listed here.",[]]],"initValues":null,"disable_children":false,"include_blank":"...","selected":null,"pl_value_id":"43001112460","subcategory_id":"helpdesk_ticket_custom_field_cf_select_issue_details_981591_43001112460","item_id":"helpdesk_ticket_custom_field_cf_select_product826990_981591_43001112460"}); //]]> </script> </div> </div>
<div class="control-group ticket_section"> <label class=" control-label cf_phone_number661598_981591-label " for="helpdesk_ticket_cf_phone_number661598_981591">Phone Number</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_phone_number661598_981591]" id="helpdesk_ticket_custom_field_cf_phone_number661598_981591" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_student_id436553_981591-label " for="helpdesk_ticket_cf_student_id436553_981591">Student ID</label> <div class="controls "> <input class=" number section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_student_id436553_981591]" id="helpdesk_ticket_custom_field_cf_student_id436553_981591" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_student_name988051_981591-label " for="helpdesk_ticket_cf_student_name988051_981591">Student Name</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_student_name988051_981591]" id="helpdesk_ticket_custom_field_cf_student_name988051_981591" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_platform_981591-label " for="helpdesk_ticket_cf_platform_981591">Platform</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_platform_981591]" id="helpdesk_ticket_custom_field_cf_platform_981591"><option value="">...</option> <option data-id="43001136811" value="Blended LMS">Blended LMS</option> <option data-id="43001136815" value="Elephango">Elephango</option> <option data-id="43001136817" value="Microsoft Login / BLC Login">Microsoft Login / BLC Login</option> <option data-id="43001136818" value="Moodle">Moodle</option> <option data-id="43001136819" value="Mr. D">Mr. D</option> <option data-id="43001136823" value="Physical Materials">Physical Materials</option> <option data-id="43001136825" value="Sales Inquiry / Issue">Sales Inquiry / Issue</option> <option data-id="43001136826" value="Zoom">Zoom</option> <option data-id="43001136827" value="Other">Other</option></select> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_ticket_is_on_behalf_of_981591-label " for="helpdesk_ticket_cf_ticket_is_on_behalf_of_981591">Ticket is on behalf of:</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_ticket_is_on_behalf_of_981591]" id="helpdesk_ticket_custom_field_cf_ticket_is_on_behalf_of_981591"><option value="">...</option> <option data-id="43001136828" value="Myself">Myself</option> <option data-id="43001136829" value="My Student(s) and/or Families">My Student(s) and/or Families</option></select> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_select_an_issue856606_981591-label " for="helpdesk_ticket_cf_select_an_issue856606_981591">Select an Issue</label> <div class="controls nested_field "> <select class=" nested_field section_field" id="helpdesk_ticket_custom_field_cf_select_an_issue856606_981591_43001120458" name="helpdesk_ticket[custom_field][cf_select_an_issue856606_981591]"><option value="">...</option> <option value="Trouble logging in">Trouble logging in</option> <option value="Trouble with a course">Trouble with a course</option> <option value="Trouble with an order or enrollment">Trouble with an order or enrollment</option> <option value="I have a question a shipment">I have a question a shipment</option> <option value="I have a question or issue that is not listed here.">I have a question or issue that is not listed here.</option></select><div class="level_2"><label class="">Select issue details</label><select class=" nested_field section_field" id="helpdesk_ticket_custom_field_cf_select_issue_details32521_981591_43001120458" name="helpdesk_ticket[custom_field][cf_select_issue_details32521_981591]"><option value="">...</option> </select></div><script> //<![CDATA[ jQuery('#helpdesk_ticket_custom_field_cf_select_an_issue856606_981591_43001120458').nested_select_tag({"data_tree":[["Trouble logging in","Trouble logging in",[["I don't know my username and password","I don't know my username and password",[]],["My username or password is not working","My username or password is not working",[]],["I'm getting an error","I'm getting an error",[]],["Other","Other",[]]]],["Trouble with a course","Trouble with a course",[["I don't understand what to do","I don't understand what to do",[]],["Something was marked wrong that should have been correct","Something was marked wrong that should have been correct",[]],["I'm getting an error","I'm getting an error",[]],["The content is wrong or missing","The content is wrong or missing",[]],["Other","Other",[]]]],["Trouble with an order or enrollment","Trouble with an order or enrollment",[["I'm getting an error","I'm getting an error",[]],["Class(es) are missing","Class(es) are missing",[]],["I want to change my order","I want to change my order",[]],["When will I receive my order?","When will I receive my order?",[]],["Other","Other",[]]]],["I have a question a shipment","I have a question a shipment",[["When will my shipment arrive","When will my shipment arrive",[]],["I am missing something from my order","I am missing something from my order",[]],["Other","Other",[]]]],["I have a question or issue that is not listed here.","I have a question or issue that is not listed here.",[]]],"initValues":null,"disable_children":false,"include_blank":"...","selected":null,"pl_value_id":"43001120458","subcategory_id":"helpdesk_ticket_custom_field_cf_select_issue_details32521_981591_43001120458"}); //]]> </script> </div> </div>
<div class="control-group ticket_section"> <label class=" control-label cf_curriculum_express_order_number_981591-label " for="helpdesk_ticket_cf_curriculum_express_order_number_981591">Curriculum Express Order Number</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_curriculum_express_order_number_981591]" id="helpdesk_ticket_custom_field_cf_curriculum_express_order_number_981591" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_name_used_for_order_981591-label " for="helpdesk_ticket_cf_name_used_for_order_981591">Name Used on Order</label> <div class="controls "> <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_name_used_for_order_981591]" id="helpdesk_ticket_custom_field_cf_name_used_for_order_981591" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_phone_number661598_981591-label " for="helpdesk_ticket_cf_phone_number661598_981591">Phone Number</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_phone_number661598_981591]" id="helpdesk_ticket_custom_field_cf_phone_number661598_981591" /> </div> </div>
<div class="control-group ticket_section"> <label class=" control-label cf_phone_number558499_981591-label " for="helpdesk_ticket_cf_phone_number558499_981591">Phone Number</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_phone_number558499_981591]" id="helpdesk_ticket_custom_field_cf_phone_number558499_981591" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_student_id479918_981591-label " for="helpdesk_ticket_cf_student_id479918_981591">Student ID</label> <div class="controls "> <input class=" number section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_student_id479918_981591]" id="helpdesk_ticket_custom_field_cf_student_id479918_981591" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_student_name848954_981591-label " for="helpdesk_ticket_cf_student_name848954_981591">Student Name</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_student_name848954_981591]" id="helpdesk_ticket_custom_field_cf_student_name848954_981591" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_are_you_enrolled_in_bridgeway_academy_981591-label " for="helpdesk_ticket_cf_are_you_enrolled_in_bridgeway_academy_981591">Are you enrolled in Bridgeway Academy?</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_are_you_enrolled_in_bridgeway_academy_981591]" id="helpdesk_ticket_custom_field_cf_are_you_enrolled_in_bridgeway_academy_981591"><option value="">...</option> <option data-id="43001136864" value="Yes">Yes</option> <option data-id="43001136865" value="No">No</option> <option data-id="43001136866" value="Unsure">Unsure</option></select> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_select_an_issue155376_981591-label " for="helpdesk_ticket_cf_select_an_issue155376_981591">Select an Issue</label> <div class="controls nested_field "> <select class=" nested_field section_field" id="helpdesk_ticket_custom_field_cf_select_an_issue155376_981591_43000853782" name="helpdesk_ticket[custom_field][cf_select_an_issue155376_981591]"><option value="">...</option> <option value="Broken Link(s)">Broken Link(s)</option> <option value="Payment Issues">Payment Issues</option> <option value="An Error or Bug">An Error or Bug</option> <option value="Feedback / Suggestions">Feedback / Suggestions</option> <option value="Other">Other</option></select><div class="level_2"><label class="">Details</label><select class=" nested_field section_field" id="helpdesk_ticket_custom_field_cf_details_981591_43000853782" name="helpdesk_ticket[custom_field][cf_details_981591]"><option value="">...</option> </select></div><script> //<![CDATA[ jQuery('#helpdesk_ticket_custom_field_cf_select_an_issue155376_981591_43000853782').nested_select_tag({"data_tree":[["Broken Link(s)","Broken Link(s)",[["Please report this broken link by hitting the \"Report Broken Link\" button below the video in question.","Please report this broken link by hitting the \"Report Broken Link\" button below the video in question.",[]]]],["Payment Issues","Payment Issues",[]],["An Error or Bug","An Error or Bug",[]],["Feedback / Suggestions","Feedback / Suggestions",[]],["Other","Other",[]]],"initValues":null,"disable_children":false,"include_blank":"...","selected":null,"pl_value_id":"43000853782","subcategory_id":"helpdesk_ticket_custom_field_cf_details_981591_43000853782"}); //]]> </script> </div> </div>
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