Northern Illinois University

Information Technology Services

BlackBoard Community Request

* indicates a required field.

Requester Information

Name:*
 

AccountID:*
 

Phone Number:*
 

E-Mail Address:*
 

Department:* (If department is not listed then select Other and specify in Comments box below.)
 

Community Information

Community Name:*
 

Purpose of Community:*
 

Length of Time Needed (duration):*
 

Leader Information (Leave blank if the same as Requester Information)

Leader Name:

Leader AccountID:

Leader Phone Number:

Leader E-Mail Address:

Leader Department: (If department is not listed then select Other and specify in Comments box below.)

Other Information

List of AccountIDs: (only if requesting an initial batch enrollment)
Please indicate in Comments box below if initial batch enrollment is needed for individuals who currently do not have access to Blackboard.

Billing Account Number:*
 

Comments: