Blackboard Non Credit Course / Organization Account Request Form
Your account should be ready within 48 business hours
** This is to be used by Campus Departments Only**
* Required
Email address
*
Your email
Title:
What is the name of your Blackboard site:
Your answer
What is the purpose of your Blackboard Site? Please provide us with a brief description:
Your answer
First Name:
Your answer
Last Name:
Your answer
What is your status at the University?
Faculty
Staff
Graduate TA
Graduate Student Teaching a Class
Undergraduate Student employed by an Organization
Clear selection
E-mail Address (so our staff can contact you):
Your answer
Campus Phone:
Your answer
Stony Brook (SOLAR) ID#:
Your answer
Do you already have a Blackboard Account?
Yes
No
Clear selection
If so, what is your Blackboard username?
Your answer
Comments / Additional Information:
Your answer
Send me a copy of my responses.
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