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Home > About Bergen > Campus Resources & Facilities > Center for Instructional Technology > Faculty/Staff > Element K Request Form
ElementK Request Form

Please fill out the entire form below, be sure to check one of the choices next to current status, and click submit when completed. As a courtesy, you will receive an automatic confirmation of the submission. A copy of the form will be automatically forwarded to your department head or supervisor for approval. CIT will respond to this request within one week, based on necessary additional approvals

If successful, the account given to you (as an access key code) will be a timed 3-month subscription from the date of the email to you. We thank you for taking the responsibility to further your professional development.

First Name:
Last Name:
EMail Address:
Department:
Current status: Adjunct Lecturer FT Tenure Track Faculty TA/PA Staff* Administration
*Staff includes Professional, Confidential Professional and Support Staff
 
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