Sponsored Account Request Form

Sponsored Account Request Form

Use this form to request a sponsored account and provide the information needed for UMSI review, screening, approval, and account creation.
Sponsor & Identity
Your Name

First NameLast Name
Email
example@example.com
Sponsor requestor affiliation
Visitor Personal & Eligibility Information
Name

First NameLast Name
History of University of Michigan affiliations
UMID (if known)
Uniqname (if existing)
Non-U-M email address
example@example.com
Please provide the visitor's resume or CV

Cancelof
Detailed business justification regarding the visit or request for access
Are you requesting access to files or resources owned by the person named above, whose university access has been terminated?
If yes, please indicate what you are seeking access to.
Type N/A is not applicable
Visit Details
Visit mode
Covered Vistor Type

Other
If you selected other, please provide details on the type of visit.
Type N/A is not applicable
A note on start dates:

Covered visitors must complete a background check and restricted party screening, which can take 2–3 weeks. Please choose a start date that is at least 4 weeks from the date you submit this form. If your visitor requires a J-1 visa, please choose a start date at least 3 months from the date you submit this form. J-1 visa submission deadlines are available at: https://ssc.umich.edu/human-resources/j-1-visa-coordination/
Visit start date

MonthDayYear
Date
Visit end date

MonthDayYear
Date
U-M location or remote work site
Detailed description of collaboration or work to be performed
What univesrity systems, platforms, or resources will this visitor need access to?
Examples may include Google Workspace, University email, Canvas, Software, Non-public building access (lounge, specific rooms, etc), lab access, etc.
Funding Information
Will you be providing funding to this visitor?
If you are providing funding, please provide details on funding source and method of funding (employment, stipend, etc.)
Type N/A is not applicable
Research Approval & Notifications
Will this visitor be participating in any research activities?
If this request is related to an Unfunded Agreement (NDA, MTA, MOU, etc.), please list the UFA number(s)
Type N/A is not applicable
If this request is related to a sponsored research project, please list the PAF/AWD number(s)
Type N/A is not applicable
If not associated with an Unfunded Agreement or Sponsored Research project, please provide more details on the type of research activities that will be occuring.
Type N/A is not applicable
Will visitor will be working on anything or have access to anything that would require an NDA and/or DUA.
Acknowledgments & Compliance
Sponsor Responsibility: Notifying UMSI HR Before a Visitor's Departure.
Your signature: I understand my requirements under this policy.
Should be Empty:

Sponsored Account Request Form

Sponsor & Identity

Visitor Personal & Eligibility Information

Visit Details

A note on start dates:

Funding Information

Research Approval & Notifications

Acknowledgments & Compliance