Help Center Services

Affiliate Network Request Form

 

Instructions:
Please complete the form below to ensure prompt response to your request. You will be contacted once you have submitted all requested information

 

 The Affiliate Request Form must be completed by a manager or above.

Note: The Affiliate account is active for 6 months.

*If a future request is made you will not receive the password until the day of after 8 30 am.

 

 

Sponsor Email
Affiliate First Name
Affiliate Last Name
Affiliate Email Address
Affiliate Phone Number
Start Date MM/DD
Sponsor CampusID
Sponsor Phone Number
Sponsor's Department
Create an Office 365 e-mail account for Affiliate?
Purpose For Account