Request edit access
Moodle New User Request Form
This form is for authorized users only. Authorized users include: registrars, administrators, and faculty with permission. All others must request user accounts through their school's respective registrar.
www.gtu.edu
Firstname
Please enter the first/given name for the account requested.
Your answer
Lastname
Please enter the last name/family name for the account requested.
Your answer
Email
Please enter the email address for the account requested. Please use the account user's official email (e.g. student@ses.gtu.edu). For reason of compatibility, this cannot be an @aol, @yahoo, or @hotmail account.
Your answer
School
Please enter the school of primary affliliation.
Degree Program (if certification enter "Special")
Please select the degree program from the list below. (If certification program, choose "special".)
Is the user Temporary?
Please select the appropriate status (A= Active, T=Temporary)
If temporary, please enter the account end date.
If this request for a temporary user account, please enter the ending date (for example, a student taking a one-week course only).
MM
/
DD
/
YYYY
City, State
Please enter the location of the student in city, state format
Your answer
Your name? (authorized users only)
Please enter your name and contact information if we have any questions regarding this request.
Your answer
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