Create User

Form Instructions Enter values in the fields and press "Submit" when finished.
    Username
    Password
    Confirm Password
    My VIP ID What is this?
    Confirm My VIP ID

    Name

    Title
    First Name
    Middle Name
    Last Name
    Suffix

    User Role
    Locked (Prevent Login)

    Phone Numbers

    Primary Phone (ex. 803-555-5555 x12345)
    Secondary Phone (ex. 803-555-5555 x12345)
    Fax (ex. 803-555-5555 x12345)

    Email Addresses

    Email
    Separate multiple addresses with semicolons.


    Curriculum Vitae Email
    If left blank, defaults to email address above. Only ONE address allowed!

    Address





    City
    State
    ZIP Code

    Alternate (Home) Address





    City
    State
    ZIP Code

    Institution and Department

    Institution
    Home Department

    Note: Students and Faculty from Senior and Regional Campuses should choose their respective Senior or Regional Campus as Home Department. (e.g. USC Aiken)


    Position

    Faculty
    Staff
    Student
    denotes Required field