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Key Request
Comments
This field is for validation purposes and should be left unchanged.
Key Requestor
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Last
Email
(Required)
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(Required)
Student
Staff
Faculty
Advisor
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Last
Your faculty advisor will be contacted to authorize the request access.
Advisor Email
Supervisor
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Your supervisor will be contacted to authorize the requested access.
Supervisor Email
Keys Requested
Building
Room
Building
Room
Building
Room
Building
Room
Desk Number
Building Access
Notes
Responsibilities
Student Holds Policy
Failure on my part to comply with the terms above will result in the department’s request that an academic hold be placed on all of my records. Until full payment is made, my transcript will not be forwarded and graduation will be delayed.
I agree to the terms.
Acceptance
(Required)
I understand that acceptance of the key(s) listed above for the respective room(s) places the responsibility on me for returning the key(s). In the event of loss or otherwise, I am responsible for the cost involved in re-keying such locks as necessary to maintain the security of the building(s).
I agree to the terms.
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