Special Access Request

Access to Xavier University's information technologies and resources is permitted for faculty, staff, and students. There may be special cases where accounts are created for other individuals that are not faculty, staff, or students. This form is for those type of accounts. Examples include consultants, coaches or temporary positions.

Access Requested For *

Legal Name

Address *

Address Type

Phone Number


Is this a new request or an end date extension?


Type of Access *

Department Head