New Slate User Request Form

Please complete and submit the form below to request your Slate user access.

User Information

First Name

Last Name

Preferred First Name

Email Address (Note: Please provide your UNCW email address.)

Office Phone

Banner ID

Department

Title

Account Request Details

Brief explanation of needed access or intended use:

User Agreement

Information contained in university records, including but not limited to student information is confidential by law. Only an employee, that employee’s supervisor(s) and authorized university personnel whose job responsibilities require use of that data may access such information. I will not use UNCW Admission data obtained from Slate resources for personal use of benefit. I will not disclose university data or my USER ID/PASSWORD to any individual. I understand unauthorized access and/or release of this information is prohibited by law and may result in disciplinary action, including dismissal and/or criminal prosecution.

By checking Yes and typing your full name, you are signing this form electronically.

Yes

Employee Signature

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Date

New Slate User Request Form

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Office Hours

Summer Hours