I.D. Card Submission Form

Preferred First and Last Name (what you like to be called)

Legal Name (what we have on file, not what will be on your ID)*

PROGRAM NAME/POSITION*

are you in on-campus housing?

Rooms/Printer Access required for staff/faculty

Id Type*

*Note - ID reprints require a $10 reprint fee paid at https://payit.nelnet.net/form/wDigrunb.

If this is an Alumni ID or a reprint, did you pay the fee?

***If you do not pay a reprint fee of $10, the new ID will not be distributed***

visit the web address below to pay the fee. You will need your student id number to complete this form.

https://payit.nelnet.net/form/wDigrunb

Student ID number (9 digit number that begins with "000")*

CAN BE OBTAINED BY HUMAN RESOURCES FOR FACULTY/STAFF

If you are a staff or faculty member, what rooms/access will you need?

Semester of Entry (For new students only)

Preferred method of ID Distribution*

Online students, staff, or faculty members can have their ID mailed to them without additional cost.

Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

E-mail (so we can let you know when to pick up your I.D.)

Below please upload a good quality photo that you would like to use for your photo ID. Please follow these guidelines in choosing a picture.

Upload the picture that will be on your I.D. card*

Enter the message as it's shown*