NetDB: Guest Registration Request

Guest Registration Request

In order to request guest network access, please fill in the below information with your information, and as much information as possible about the person or department that is sponsoring your access. The hardware address is filled in by default, if incorrect, please fill in the correct address. If you are a current student or employee/faculty, DO NOT use this form. This form is only for GUESTS to the university that do not have a UM System UserID.
Your Name:
Your Phone:
Your EMail:
Sponsor Name:
Sponsor Department:
Sponsor EMail:
Sponsor Phone:
Ethernet/Hardware Address:

Using this application implies that you have read and agree to the acceptable-usage policies on the IT policies page.