Ellucian Colleague Data and Access Request Form

This form is used to submit a request for Colleague access to the program and/or Ellucian Colleague data.

Date Required By:
Name:    Email:         
Position: Department: 
 Select the type of access you require:

Select the area of what you would like access to:

How often will you be using the data or Ellucian colleague?
Are you replacing an existing user?  If yes, who? 
 Why do you need access?

Supervisor Name: Supervisor Email: