Missouri Western State University
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Request Form

Website Folder/E-Mail Request Form
 
User Type:   Please select the description that applies to you.*
Department Name: (required if Department is selected.)
Organization Name: (required if Organization is selected)
  NOTE: Requestor must be the organization sponsor.
Other Please Specify: (required if Other is selected)
 
Personal Information:
First Name* Requested Username (optional)
Middle Name Requested Password (optional)
Last Name*    
Date    
G Number*    
Phone E-mail Address
 
Types of Accounts:  Select at least one item below:*
E-Mail Account
Web -- Check this item if you would like to setup a MWSU Web account OR to request/change the username and password of your MWSU Web account.
 NOTE: When this item is selected, it will also automatically check 'E-Mail Account', if it is not already checked.  When a Web account is created, you are required to have an e-mail account also, but you don't have to use it.
Academic -- Check this item if you would like to be contacted by Web and Multimedia Services about setting up course information online (faculty only).
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