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

(i.e. jdoe)


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.