Qualtrics Request Form

Please use the following form to submit Qualtrics account requests to the CLAS IT Department.

Once your account is created, you will have credentials to log into www.qualtrics.com.

Please note that you must be employed by the College of Arts and Sciences. If you are not employed by the College and require a Qualtrics account, please contact Kathleen Nazar in the Office of Planning and Institutional Research.

Contact Information

First Name *

Last Name *

User ID *

(i.e. jdoe)

Email *

Phone *

Acknowledgement

Acknowledgement *

Yes

By checking the box above, I acknowledge that I am employed as a Faculty or Staff member for the College of Liberal Arts and Sciences.

Please only click the Submit button once. It takes some time for the form to process. Thank you.

About Villanova

Villanova University was founded in 1842 by the Order of St. Augustine. To this day, Villanova’s Augustinian Catholic intellectual tradition is the cornerstone of an academic community in which students learn to think critically, act compassionately and succeed while serving others. There are more than 10,000 undergraduate, graduate and law students in the University’s six colleges.

Qualtrics Request Form

Contact Information

Acknowledgement

About Villanova

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