NORTH CAROLINA AGRICULTURAL AND TECHNICAL STATE UNIVERSITY
Online User
name & Password Request Form
ALL requests for space MUST be submitted online through the Events Calendar website, via username & password.
Once this form is submitted and approved, the information detailed herein will be used to generate online scheduling
usernames/passwords. Only the contacts included on this form will receive a username/password (including the
advisor). Student Organizations submitting this form must be registered through the Office of Student Activities.
Usernames/passwords will be distributed to contacts/advisors via the email address provided. Please write legibly.
Organization/Department: ___________________________________________________ (NO abbreviations)
Username/Password should be NO MORE THAN eight (8) characters in length and MUST include at least one number. Each
contact person must
have a different username and password.
Advisor Contact Information (Student Organizations Only)
Complete only if you are requesting a username & password
Name: ________________________________ Position: __________________________________
Campus Address: _______________________
Email Address: _____________________________
Work Phone: ___________________________ Alternate Telephone #: _______________________
Desired Username: ______________________ Desired Password: __________________________
All those signed hereto have read and understand all University Event Center policy and procedures and agree to
abide by th
e rules and regulations of the University Event Center. I understand that I am signing on behalf of my
organization.
_____________________________
Contact Name
_______________________________
Signature
_____________________
Date
_____________________________
Advisor Name (Please Print)
_______________________________
Advisor Signature
_____________________
Date
For University Event Center use only: Completed by: _____________________________ Date: ________________
A Land-Grant University and A Constituent Institution of the University of North Carolina
Student Center, Suite 368 • 1403 John Mitchell Drive • Greensboro
, NC 27411 • (336) 285-2580 • Fax (336) 334-7131
Contact #1 (Department contacts should use campus address and telephone number)
Name: __________________________________ Position: ________________________________
Address:________________________________ City, State, Zip: __________________________
Office/Cell telephone #: ____________________ Email Address: __________________________
Desired Username: _______________________ Desired Password: ________________________
Contact #2 (Department contacts should use campus address and telephone number)
Name: __________________________________ Position: ________________________________
Address:_________________________________City, State, Zip: ___________________________
Office/Cell telephone #: ____________________ Email Address: ___________________________
Desired Username: _______________________ Desired Password: _________________________
