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Graduate Student IT Credentials Request Form
This form is for incoming Graduate Students who need credentials to access Adrian College Gmail. Netclassroom, Blackboard, and Shipman Library Databases.  
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Name (First, Last)
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Degree and program
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Master of Arts in Criminal Justice
Master of Arts in Higher Education Administration and Leadership
Master of Arts in Sport Management
Master of Business Administration in Accounting
Master of Business Administration in Finance
Master of Business Administration in General Business
Master of Business Administration in Healthcare Administration
Master of Business Administration in Human Resources
Master of Business Administration in Marketing
Master of Education in Curriculum, Instruction, and Assessment
Master of Science in Accountancy
Master of Science in Athletic Training
Master of Science in Computer Science
Educational Leadership Endorsement
Reading Specialist Endorsement
Graduate Certificate in Healthcare Administration
Graduate Certificate in Higher Education Institutional Effectiveness
Graduate Certificate in Higher Education Leadership
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Student ID
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Adrian College E-mail
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If you are a current or former AC Student, please include that email here and a personal email in the next field.  If you are not a current or former student, please type N/A
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Personal E-mail
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Even if you are a current or former AC Student, please include a personal email in this field.
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Term
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Fall
Spring
Summer
May
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Phone number
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Name (First, Last)
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Degree and program
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Student ID
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Adrian College E-mail
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Personal E-mail
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Term
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Phone number
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