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Information Technology

Guest Access Request

NOTE: Printing and/or faxing this form is not required.

  • Read the instructions before using this form.

  • Guest access accounts are for individuals who are not employees or students at UCA, but who require access to perform a function or service for the University and are sponsored by a UCA employee.

    How to use this form:
    1. The form is to be filled out by the sponsor.
    2. This form is used to request guest access to UCA services.
    3. The information on this form is necessary in order for us to be able to create a guest account. Fill in the form and click the “Submit Request “ button at the bottom.

    First Name:
    Last Name:
    Guest Email Address:
    not @uca.edu
    Guest Telephone Number: - -

    Sponsor Information
    UCA Sponsor's Name (individual's name):
    View UCA sponsor information
    Spnsor's Email Address:
    Sponsor's Department:
    Sponsor's Telephone Number: - -

    Access Information
    Purpose of Access:

    Type of Service(s) Needed:



    Name of Pool Drive:

    Begin Date:

    ,
    End Date:: ,
    (Maximum of 180 days, if no end date specified it will be one day after the begin date)

    UCA sponsor

    The UCA sponsor is a full-time employee of the University of Central Arkansas requesting this guest access for University related purposes and is responsible for the activities of the guest. Close Window X

    Information Technology

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      • Blackboard Request Form: Request Courses, TA's, Changes, etc.
      • Connect To An Existing Dataline Already Connected To The Network
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    Information Technology

    Burdick Hall (BH)
    Email: helpdesk@uca.edu
    Phone: (501) 450-3107.

    Helpdesk Login

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