Student Organization E-mail Account Request Form

This form is for Student Organization E-mail Account Requests.

NOTE: required fields are prefixed with an asterisk (*)

Organization Information:

*Org name:

*Org Description:

*Requested E-mail address (14 character limit):

*Would you like to access your organization e-mail via a separate e-mail account, or have it forwarded to your HLS e-mail account?

Separate Mail Account Forwarding Address

Forwarding address:

Owner Information:

*First name:

*Last Name:

*Owner E-mail address:

*Phone Number: