IT Membership Service

Please complete all fields to request membership of the University Information Technology Membership Service.

Do not complete this form if one of the following applies as you will be able to register for an IT account once you are set up on Payroll:

you will be paid via one of the University payrolls - Sessional Teaching Payroll [STP] or Variable monthly [VAM]
you will be paid as an External Examiner

Please allow up to 5 working days for a reponse.

Title

First name

Last name

External email address

Gender

Date of birth

Start date

Predicted/actual end date

Do you require a University of Warwick email address?

Your organisation

Your role within your organisation

Your University of Warwick contact name

Programme Area you are affiliated with in CLL

Please give details

Privacy notice

The data you provide is used solely to provide membership of the University of Warwick IT Membership Service.

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. If you wish to submit a data subjects rights request, make a complaint or report a suspected personal data breach, please contact the University’s Data Protection Officer by email at infocompliance@warwick.ac.uk.

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IT Membership Service

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