User Support Services
Student Account Information Form

If you account is not in the database at the lab assistant's desk and you are currently registered for classes, fill out this form.  You account should be active within 72 hours.  For password resets, return to the lab within 72 hours and ask the lab assistants for your new password. Please provide the following information:

Action needed
New Account                                                                Date      //
Password Reset                                                                                                   
Fix Corrupted Profile

       
First Name                                   M                        Last Name

           /
Contact Phone #                          Non-RIC E-mail Address                MO/Day of Birth

                                                              
Applicant's Signature                          Empl ID#                Account Username


Office Use Only - Student Staff Please sign your name at the bottom

                                                               
Student Staff Name - (please print)