HSBI Student Dashboard Access Request Form

Request For (Name)*

Firstname Lastname

Request For (Email)*

SUNetID@stanford.edu

Request By (Name)*

Firstname Lastname

Request By (Email)*

SUNetID@stanford.edu

Access Type*

Select or enter value

Effective Date*

Select the date from which the access should be removed

Modify Request*

Select or enter value

Level of Access*

Select or enter value

Send me a copy of my responses

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