Student Id Card Request College Of Professional Studies
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1Student ID Card Request
College of Professional Studies
To request a student ID card, you will need:
1.
This form
2. A copy of your driver’s license
3. A photo in .jpg format
Student Name (First, Middle, Last): ______________________________________________________
Student ID Number (7 digits): _______________________ Phone Number: ______________________
Please complete the information above using the name in which you registered with the
•
university.
Call the Warrior Information Network at 888.832.4742 to obtain or verify your 7-digit student ID
•
number and to make sure the address we have on file is correct.
Include a copy of your driver’s license. The license should be current and contain a name that
•
matches your student name at the university. The university reserves the right to request
additional identification to verify student identity.
Include your photo in .jpg format. You can use a digital camera or a scanned image. The photo
•
should resemble the image on your driver’s license. It should be taken from a 3-foot distance and
include your head and upper torso.
Sign and date this form below.
•
Email this request form, a copy of your driver’s license and photograph (.jpg format) to the
•
university contact provided below.
If you choose to fax the request form and copy of your driver’s license to the contact below, the
•
photograph provided MUST be sent through email in .jpg format.
Send information to:
Attn: Austin Dowdy
Fax: 260.422.1518
Phone: 260.422.5561 ext. 2204
AJDowdy@IndianaTech.edu
___________________________________________
__________________
Student Signature
Date
Your ID card will be mailed to the address you have on record with the university. You should receive
your student ID card within two weeks. Please call the contact above with any questions.
Rev. 6/16
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