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Admission Home
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Slate Access Request
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This form should be completed by Dominican University staff, faculty, students, and stakeholders requesting access to Slate, Dominican's admissions software. Questions should be directed to Enrollment Systems & Operations at
operations@dom.edu
.
Are you a Dominican University staff member, faculty member, or student?
Are you a Dominican University staff member, faculty member, or student?
Yes
No
Requestor Information
First Name
Preferred First Name (
I
f Different Than "First Name"
)
Last Name
Employee/Student ID Number
(
Also Known As: Jenzabar/J1 ID Number
)
Dominican Email Address
Email Address
Mobile Phone Number
-
Your cell phone number is necessary for login authentication.
Title
Department
Affiliated Organization
Use this space to provide any special processing notes - such as how you intend to use Slate or the permissions you're requesting - regarding your access request. Admission counselors/recruiters should also include their office phone number (e.g., 708-524-6###) in this space. Student workers should also include their employee username (e.g., pl_jdoe or sw_jdoe) in this space.
Supervisor Information
Supervisor's First Name
Supervisor's Last Name
Supervisor's Dominican Email Address
Supervisor's Title
Supervisor's Department
Dominican Sponsor Information
Sponsor's First Name
Sponsor's Last Name
Sponsor's Dominican Email Address
Sponsor's Title
Sponsor's Department
Submit