Non-Staff Account Request Form
This form is intended to only be submitted by current ISD31 Staff that will be interacting with the Non-staff member. IE Cooperating teacher or a building secretary. Any requests submitted by someone outside the district will be rejected.
Building
*
Please Select
High School
Middle School
Gene Dillon Elementary
Horace May Elementary
J.W. Smith Elementary
Lincoln Elementary
Northern Elementary
Paul Bunyan Center
Solway Elementary
Name (Spelling needs to be correct!)
*
First Name
Last Name
Middle Initial
(This is incase there is already someone by the same name with an account)
Position Type
*
Boys and Girls Club
Kelly Sub - Full Time or Part Time if regular
North Homes
Reading Corps
School Resource Officer (SRO)
Stellher Human Services
Student Intern
Student Teacher
Other
Cooperating/Supervising Staff
*
First Name
Last Name
Start Date
*
-
Month
-
Day
Year
Date
End Date
*
-
Month
-
Day
Year
Date
Required Access
*
Gmail/Google Apps
WiFi/Internet
Papercut Printing
Logon for Windows Computer
Door Access (If they need a badge, you need to speak with Holly Finch also, this checkbox just tells us to get the information from her)
Submitter Name
*
First Name
Last Name
Submitter Email
*
example@isd31.net
Notes: Use this space to give us any other relevant information if needed.
Submit
Should be Empty: