Guest Account Request

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

To request a guest account, please fill out all fields on this form. The completed form is e-mailed to the Assistant Vice Chancellor for Information Services for consideration and must be submitted at least two weeks 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 UWP 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:

UWP sponsor's name:
UWP sponsor's phone number:
UWP sponsor's e-mail address:

Reason for request (Please be specific!):