Digital Resource Access Request
Submit this form to request access to a digital resource. Please provide accurate and complete information to expedite your request.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Department or Team
*
Position/Role
*
Resource Requested
*
Please Select
Database Access
Software Application
File Storage/Drive
Online Tool/Platform
Other
If 'Other', please specify the resource
Type of Access Needed
*
Read-only
Read and Write
Administrative
Other
Reason for Access
*
Duration of Access Needed
*
Please Select
One-time (temporary)
1 week
1 month
3 months
6 months
Permanent/Indefinite
Have you previously been granted access to this or a similar resource?
*
Yes
No
Supervisor/Manager Name
*
Supervisor/Manager Email
*
example@example.com
Additional Comments or Special Requirements
Submit Request
Should be Empty: