New Undergraduate User Access Form Provide the following information to have a new user created in the selected system(s). All fields are required and a new user cannot be created unless all information is provided. Loading...Requesting OfficeIs the new user a staff member within the BGSU Office of Undergraduate Admissions (Main Campus or Firelands Campus)?YesNoNew User InformationBGSU IDFirst NameLast NamePreferred First NameBGSU EmailOffice PhoneMobile PhoneBGSU Position / TitleDepartmentAccess Start Date *Access Start Date *JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember12345678910111213141516171819202122232425262728293031200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044AffiliationFacultyStaffStudent EmployeeOtherDescribe AffiliationPronouns (Export 3)Pronouns (Export 3)SheHerHersHeHimHisTheyThemTheirsZeHirSystem Access and Access DescriptionProvide access to: *Provide access to: *Undergraduate SlateGraduate SlateCSS (PeopleSoft)OnBaseUASCommon ApplicationPulse Secure for PCI ComputersMicrosoft TeamsAdmissions Operations TeamOtherCopy a current user's access?YesNoFull name & BGSU email of user to copy.🛑 Note: The Office of Admissions does not grant access to CSS (Campus Solutions / PeopleSoft) or OnBase document imaging systems. Contact ITS to request CSS access or Registration & Records to request OnBase accessPlease list the Teams Channel(s).Please describe the other system(s). 🎓 Graduate Slate requires a separate security request to be submitted at https://gradapply.bgsu.edu/register/newuser. ⚠️ CSS access requires a separate security request to be submitted. The new user, their supervisor, and other campus representatives must acknowledge the request and grant approvals. The CSS approval process can take 1-10 business days.📝 OnBase access requires the submission of an additional security form. Download, complete, and return the signed OnBase security form to Dustin.⚠️ A security request will be sent to ITS for approval. The approval process can take 1-10 business days. User's Role(s) / AccessOperations External SystemsSelect service(s):Select service(s):DuolingoEncoura (ACT)JSTNational Student ClearinghouseOvergradScoir✔️ Duolingo, Encoura, JST, & Scoir requests are submitted by Dustin on each site.🛑 NSC requests must be sent to the NSC User Administrator, Becky Cogswell.🧑 Overgrad requests must be submitted by the new user at www.overgrad.com/join as a University/College user.Supervisor InformationFull NameBGSU EmailSubmitter InformationFull NameBGSU EmailBGSU Policy AgreementPlease review the BGSU Information Technology & Data Use and Protection policies.Please review the BGSU Information Technology & Data Use and Protection policies.I acknowledge that I (or the new user if submitting on their behalf) accept the BGSU Information Technology & Data Use and Protection policies.Submit