Paleo - M-Community Sponsorship Intake Form 
You are being asked to submit your personal information related to a request for you to have computing access (Sponsorship) at the University of Michigan, Department of Earth and Environmental Sciences.  This access will include email access, library access, and other non-public systems or computing needs.  

Sponsorship is a means for U-M units to provide a person who has a university affiliation with a uniqname and online identity for university purposes when that person does not already have an active uniqname. Sponsorship also provides access to U-M standard computing services for university purposes.  In order to qualify for access, you must have a current relationship to the unit in which you are sponsored.

In order to give you access as requested, we need to document your university affiliation as well as obtain a combination of your personal information to allow us to establish you in our system, including:
  • First name
  • Last name
  • Date of birth
  • Non-UMICH email address (used for initial password setup and any communication should access be lost)
  • Home address
  • Personal phone
Should you have any questions, please contact us at cebp-lsahr@umich.edu.  
Email *
Legal First Name *
Legal Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Non-Umich email address *
Phone Number *
Current (home) addreess *
Sponsoring Department *
Sponsoring Faculty Member *
Home Institution (Where are you currently employed?) *
Title at Home Institution *
Brief statement on why you need access at the University of Michigan, specifying research and ongoing collaborative work and/or active university affiliation.   *
Have you had access at the University of Michigan previously?  If yes, please provide your UMID or Uniqname if known. *
If previous access was under a different name, please provide your former name. *
UM Graduation/Appointment End Date *
MM
/
DD
/
YYYY
If Graduation date exceeds 3 years ago, please provide reasoning for continued access.   *
By using the university's technology services, you agree to follow U-M information technology policies and guidelines for responsible use. Inappropriate use of U-M technology resources may result in termination of access, disciplinary review, expulsion from the University, termination of employment, legal action or other disciplinary action. For information about responsible and appropriate use, see https://it.umich.edu/information-technology-policies
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