IMAGE Lab Access Request

Use this form to request IMAGE Lab access for instructors who teach in CLAS departments. This form must be completed by a departmental computer contact.

New User Info:
User's full name (First MI Last):   (required)
Departmental Affiliation:   (required)
CLAS username (max 8 chars):   (required)
Department or Center:   (required)
This user does not have a CLAS account.
Contact Info:

Your Email address:    (required)
Last 4 digits of your SSN:  (required)
Comments:  

Questions?
Last modified: Tue Jan 8 16:47:40 EST 2002