Sponsored University Associate Request

This form is intended for Sponsored University Associates (SUAs) requesting EOS Database access. SUAs will be required to review and accept a University Confidentiality Agreement and to agree to comply with certain University policies. The SUA will receive an email link to the necessary documents upon completion of this application process. This agreement, along with government issued photo ID, must be submitted prior to processing this request.
 
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* What is the name of the Georgetown University employee you are working with? This could be a faculty member or the staff member who is requesting your access.

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* First Name

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* Middle Name/Initial

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* Last Name

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* Name of Institution (if applicable)

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* Email Address (provide employer or school you are attending, if available)

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* Date of Birth

Date of birth

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* Address

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* Address 2

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* City

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* State/Province

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* Postal Code & Country

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* Phone

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* Do you have a previous affiliation at Georgetown as faculty, staff, student, or other?

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