Guest Account Request

NOTE: This form is not required for guest wireless access to the Internet. See this for instructions.

Guest Account Criteria
Guest accounts will be issued based upon criteria listed below. Person(s) submitting this form must meet one or more of the criteria to be considered for a guest account.

Person is a retired faculty or emeriti of UW-Platteville.
Person is serving as an advisor for a UW-Platteville student organization and needs access to PioneerLink.
Person is a non-UW-Platteville account holder that is serving as a member of a University group such as a search & screen committee or other committee that needs access to network resources such as workgroup directories. (Note: This is different than a temporary group account request.)

To request a guest account, please fill out all fields on this form. The completed form is submitted to the Office of Information Technology for consideration and must be submitted at least one week prior to the start date. All guest account requests must be sponsored and endorsed by a current employee of UW-Platteville. Please understand that submitting a request does not guarantee approval.

If approved and processed, recipients of guest accounts must present a photo ID at the Help Desk to obtain their username and password.

Full name, gender, and date of birth are required for internal use only to generate a unique identifier. If you have an e-mail address outside of the University, please submit that as well for contact purposes.

By submitting the form below you agree to read and abide by the following policies:

Students should also refer to Chapter UWS 17 Student Non Academic Disciplinary Procedures of University Policies, UWS 17.03 regarding misuse of computing resources.

Legal Name (First, Middle, Last):
Gender:
Date of birth:
Have you ever been a UW-Platteville student or employee or have ever had a Pioneer Activity Center membership? If so, please list which with approximate dates:
Current e-mail address:
Phone number:
Address:
City, State, ZIP code:

UW-Platteville sponsor's name:
UW-Platteville sponsor's phone number:
UW-Platteville sponsor's e-mail address:

Reason for request (Please be specific!):