Academic Affiliate Request
[av_two_third first min_height=” vertical_alignment=” space=” custom_margin=” margin=’0px’ row_boxshadow=” row_boxshadow_color=” row_boxshadow_width=’10’ link=” linktarget=” link_hover=” padding=’0px’ highlight=” highlight_size=” border=” border_color=” radius=’0px’ column_boxshadow=” column_boxshadow_color=” column_boxshadow_width=’10’ background=’bg_color’ background_color=” background_gradient_color1=” background_gradient_color2=” background_gradient_direction=’vertical’ src=” background_position=’top left’ background_repeat=’no-repeat’ animation=” mobile_breaking=” mobile_display=” av_uid=’av-2z338w’]
[av_heading heading=’Access to Colby Sysems’ tag=’h3′ link_apply=” link=’manually,http://’ link_target=” style=” size=” subheading_active=” subheading_size=’15’ margin=” padding=’10’ color=” custom_font=” custom_class=” admin_preview_bg=” av-desktop-hide=” av-medium-hide=” av-small-hide=” av-mini-hide=” av-medium-font-size-title=” av-small-font-size-title=” av-mini-font-size-title=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” av_uid=’av-l5fz34′][/av_heading]
[av_textblock size=” font_color=” color=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” av_uid=’av-kquxi3pp’ admin_preview_bg=”]
For building access – contact security at [email protected]
For Colby Card, email, library, and Workday questions – contact ITS Support Services at [email protected]
If there is a need to grant someone academic affiliate status, please complete the form below.
[/av_textblock]
[av_contact email=’[email protected]’ title=’Academic Affiliate Request’ button=’Submit’ on_send=” sent=’Your message has been sent!’ link=’manually,http://’ subject=’Affiliate Status Request’ autoresponder_email=’[email protected]’ autorespond=” captcha=” form_align=” color=” av_uid=’av-kquxn9a9′ admin_preview_bg=”]
[av_contact_field label=’Name of Affiliate’ type=’text’ options=” check=’is_empty’ width=” multi_select=” av_contact_preselect=” av_uid=’av-j5gvrk’][/av_contact_field]
[av_contact_field label=’E-Mail of Affiliate’ type=’text’ options=” check=’is_email’ width=” multi_select=” av_contact_preselect=” av_uid=’av-gqenz4′][/av_contact_field]
[av_contact_field label=’Justification’ type=’textarea’ options=” check=’is_empty’ width=” multi_select=” av_contact_preselect=” av_uid=’av-gerfds’][/av_contact_field]
[av_contact_field label=’Proposed Dates of Affiliate Status (i.e. academic year, semester)’ type=’text’ options=” check=’is_empty’ width=” multi_select=” av_contact_preselect=” av_uid=’av-e6sp4g’][/av_contact_field]
[av_contact_field label=’Name of Requestor ‘ type=’text’ options=” check=” width=” multi_select=” av_contact_preselect=” av_uid=’av-cysc34′][/av_contact_field]
[av_contact_field label=’Email of Requestor’ type=’text’ options=” check=” width=” multi_select=” av_contact_preselect=” av_uid=’av-af7ftc’][/av_contact_field]
[/av_contact]
[/av_two_third]