This form will enable you to request your User ID.

To receive your User ID, please enter the required information below:

If you select display on screen, your User ID will be displayed when you click Submit as well as sending an email to your email on record. Make sure you close the browser after you record your information so that your credentials are kept safe. Use this method at your own risk!


Please note that the information provided below must match the information on file. (Example: Michael vs Mike for First Name)

YOUR IP ADDRESS IS 10.240.68.99 - THIS IP ADDRESS WILL BE LOGGED

First Name:
Last Name:
Last four digits of Social Security Number: (Format: 9999)
Date of Birth:

(Format: mmddyyyy eg. June 4, 1974 entered 06041974)
Select the role that best describes you: Student Faculty / Staff
How would you like your User ID delivered to you: Displayed on the Screen and Emailed Emailed Only