Group Account Request

Fill out the form using the information for the person who will be the group account holder.

If you have questions, please call Diane Sherman at extension 8123.

All fields are required

Group Account Holder Information

Name:

Meredith Email Address:

Phone Number:

Status: Faculty Staff Student

Account Information

Group Name:
(e.g., Faculty Council)

Account Name Requested:
(e.g., the Faculty Council committee uses 'faccouncil')

Account Password Requested (must be at least 6 characters):