![](https://var.fill.io/uploads/pdfs/html/b400b287-3d25-47c7-bbd8-1fc8585335c5/bg1.png)
Revised 9/21/2018
REQUEST FOR B.O.S.S. PIN NUMBER & CAMPUS WIDE ID
Part 1: Instructions and Useful Information
1. Fill out all pertinent information on Request for BOSS Pin Number and CWID
2. Sign and date request.
3. Scan and email to registrar@latech.edu
Part 2: Personal Information
(Last Name) (First Name) (Middle Name)
(CWID or SS Number) (DOB – MM/DD/YY)
Part 3: Request Information
Please send my B.O.S.S pin number & CWID to the following E-mail address:
I hereby authorize Louisiana Tech University to transmit my B.O.S.S. Pin Number & CWID to
the E-mail indicated above. I understand that by signing this form I am authorizing the release of
my personal information as instructed above.
Student’s Signature: Date:
click to sign
signature
click to edit
![]()