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Student KEYCARD Access Request Form

Fill out below if you need access to any of the keycard restricted rooms. This form will be forwarded to your supervising faculty member for approval before access will be granted.

All fields in this form are required.

Date/Time: 05/21/2013 09:22:54

Application Request

First Name:

Last Name:

Phone Number:

Regent Username:

@regent.edu

Class Name:

Class Number:

Project Name:


Faculty approval is REQUIRED for KEYCARD access.

Please select your
supervising faculty member:

Please check the box next to each room for which you need 24 hour KEYCARD access.


COM 141
Guest Artist Green
Rm (North Side)

COM 133
NLE & Pro Tools
Edit Suites

COM 139
ADR/VO Room

COM 100
Journalism Lab

COM 138
Media Production Lab

COM 132
Pro Tools Film Mix Suite

COM 131
Dubbing Room

COM 142
Guest Artist Dressing
Rms (North Side)

COM 155
Digital Animation Lab

COM 156
ReelGoodTV Offices

 

Other:


Requested Access Dates (format: MM/DD/YY)

Beginning: and running Through:


 

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