Campus Visitor and Guest Access Request

Company Name (If Applicable)

Guardian Information

Please have a parent/guardian fill out the remainer of this form

Guardian Full Name* Guardian Phone Number* Guardian Email*

Employees visiting campus should contact their supervisor or department contact for access.

Department Visiting* --Choose a Department-- Academic & Corporate Engagement Academic Advising Academic Technology Support Services Aerospace Engineering Air Force Alumni Relations Army ROTC Arts & Sciences, Dean's Office BETC & PracticePoint Bioengineering Institute Biology & Biotechnology Biomedical Engineering Bursar's Office Campus Center Director Office Campus Safety Career Development Center Center for Project Based Learning Chemical Engineering Chemistry & Biochemistry Civil and Environmental Engineering Computer Science Controller's Office Corporate & Professional Education Dean of Students Office Dining Services Disability Services Electrical and Computer Engineering Engineering, Dean's Office Environmental Health & Safety Events Office Facilities Faculty Governance Finance and Operations Financial Aid/Student Aid & Financial Literacy Fire Protection Engineering Gateway - Life Sciences and Bioengineering Center Gateway - Vivarium General Counsel, Office of the Graduate Studies, Dean's Office Health Services Humanities and Arts IGSD, Dean's Office Identity & Access Management Information Security Information Technology Innovation & Entrepreneurship Intellectual Property & Innovation International House Library Services Mail Services Manufacturing Engineering Marketing Communications Mass Academy of Math & Science Mathematical Sciences Mechanical Engineering Metal Processing Institute Military Science Multicultural Affairs, Office of Physical Education/PERA Physics Pre-Collegiate Outreach Programs President, Office of the Printing Services Procurement Services Provost, Office of the Registrar Research Solutions Institute Residential Services Robotics Engineering STEM Education Center School of Business, Dean's Office Social Science and Policy Studies Sponsored Programs, Office of Student Activities Office Student Affairs, Dean's Office Student Development & Counseling Sustainability, Office of Talent & Inclusion/Human Resources Undergraduate Admissions Undergraduate Studies, Office of University Advancement Department Contact Name*

Please provide the full name name of the contact within the department you will be visiting

Department Contact Email*

Please provide the email of the individual contact within the department you will be visiting

Building Visiting* Room Visiting* Notes

Please provide any notes or special details about this visit

Study Code*

The WPI Researcher you are working with should have provided you a 4 digit study code, please put that here.

Visitor Legal Name