Plattsburgh State University

Student Information Provider Agreement (IPA)

I have read the Plattsburgh State University Information Provider Agreement. I agree to abide by the rules and provisions therein.

Name:_____________________________________________________________
Local Address:____________________________________________________
Telephone (Local):________________________________________________
Telephone (Home):_________________________________________________
Student Username:_________________________________________________

______________________________________________       _____________
Information Provider's Signature                     Date

Print and send this form to Symen Mulders or Shawn Aguglia, Computing & Media Services, Feinberg Library.